Jean M Cervini-Koby, ARNP-FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1797912 Issued in FL

Practice address

375 S Courtenay Pkwy
Merritt Island, FL 32952-4886

Phone

(321) 453-3420

NPI assigned

Dec 6, 2017

Last updated

Jan 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• SHC Medical Center Toppenish

  dba Astria Toppenish Hospital

  • General Acute Care Hospital
  • Toppenish, WA
  • NPI 1851817308
  Medicare reassignment NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1679521637
  Medicare reassignment
• Sunnyside Community Hospital Association

  • Family Medicine Physician
  • Toppenish, WA
  • NPI 1295252930
  NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1407289184

  Family

  NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Clinic/Center
  • Yakima, WA
  • NPI 1609395060
  NPD

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1831604354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 NAUTILUS DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329373931",
            "telephone_number": "321-591-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524886",
            "telephone_number": "321-453-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVINI-KOBY",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "ARNP-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1797912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Ann Cavanaugh, ARNP-C
• CDPG, P.L. (Christie Dental of Merritt Island)
• Cedar Creek Assisted Living LLC
• Central Florida Holistic Health and Wellness Consultants LLC (Healthy Healing Acupuncture)
• Certified Diabetic & Medical Services, Inc (Certified Diabetic & Medical Supplies)
• Amber Diane Chambers, APRN CNM
• Virginia Chan, PT
• Phyllis Chang
• Brianna Cheatham
• Jennifer Chebro, LCSW

• Family Nurse Practitioner in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.