Individual provider Active NPI

Jennifer Buitrago

  • Family Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1740889492
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009785 Issued in FL
Practice address
3360 Deer Creek Alba Cir
Deerfield Beach, FL 33442-8428
Phone
(954) 253-6263
NPI assigned
Oct 23, 2020
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11009785 FL Primary

Addresses

Primary practice location

3360 Deer Creek Alba Cir
Deerfield Beach, FL 33442-8428

Mailing address

3360 Deer Creek Alba Cir
Deerfield Beach, FL 33442-8428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11009785FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Express Docs, LLC Current Accepting new patients
Express Docs, LLC Current Accepting new patients

Locations

14530 S Military Trl
Delray Beach, FL 33484
Phone (561) 381-0260

14530 S Military Trl
Ste A1
Delray Beach, FL 33484
Phone (561) 381-0260

14530 S Military Trl
Ste A4
Delray Beach, FL 33484

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1740889492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 DEER CREEK ALBA CIR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 DEER CREEK ALBA CIR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428428",
            "telephone_number": "954-253-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUITRAGO",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.