Individual provider Active NPI

Jennifer Carcache, APRN

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1770172231
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010700 Issued in FL
Practice address
603 N Flamingo Rd Ste 150
Pembroke Pines, FL 33028-1022
Phone
(954) 436-6660
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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 APRN11010700 FL Primary

Addresses

Primary practice location

603 N Flamingo Rd Ste 150
Pembroke Pines, FL 33028-1022

Mailing address

11840 NW 31St St
Sunrise, FL 33323-1204
Phone (954) 593-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Mishkin D.O. P.a. CurrentSince Jun 1, 2022 Accepting new patients

Locations

1960 NE 47th St
Fl 2
Ft Lauderdale, FL 33308
Phone (954) 202-7899

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1770172231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11840 NW 31ST ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231204",
            "telephone_number": "954-593-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD STE 150",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281022",
            "telephone_number": "954-436-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARCACHE",
        "first_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.