Individual provider Active NPI

Jarmila Kubikova, ARNP

  • Family Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1811304108
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9367729 Issued in FL
Practice address
3439 Deer Creek Palladian Cir
Deerfield Beach, FL 33442-7947
Phone
(954) 600-5803
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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 9367729 FL Primary

Addresses

Primary practice location

3439 Deer Creek Palladian Cir
Deerfield Beach, FL 33442-7947

Mailing address

3439 Deer Creek Palladian Cir
Deerfield Beach, FL 33442-7947
Phone (954) 600-5803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624001472 FL Practitioner - Nurse Practitioner 5890006324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9367729FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1811304108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 DEER CREEK PALLADIAN CIR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427947",
            "telephone_number": "954-600-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 DEER CREEK PALLADIAN CIR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427947",
            "telephone_number": "954-600-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIKOVA",
        "first_name": "JARMILA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9367729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.