Individual provider Active NPI

Imelda Jean-Pierre, CNM

  • Advanced Practice Midwife
  • Ft Lauderdale, FL
National Provider Identifier
1922097963
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP2246082 Issued in FL
Practice address
1600 S Andrews Ave
Phoenix Obstetrics/Gynecology, LLC
Ft Lauderdale, FL 33316-2510
Phone
(954) 355-5110
Fax
(954) 355-4919
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP2246082 FL Primary

Addresses

Primary practice location

1600 S Andrews Ave
Phoenix Obstetrics/Gynecology, LLC
Ft Lauderdale, FL 33316-2510

Mailing address

1600 S. Andrews Avenue
Suite 323 West Wing
Fort Lauderdale, FL 33316
Phone (954) 355-5110

Other identifiers 1

IdentifierTypeStateIssuer
301674900MedicaidFL

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000617 FL Practitioner - Certified Nurse Midwife (CNM) 2466499405 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jun 28, 2021 Accepting new patients
South Broward Hospital District CurrentSince Jun 28, 2021 Accepting new patients
South Broward Hospital District Current Accepting new patients
OB Hospitalist Group LLC Advanced Practice Midwife CurrentSince Dec 16, 2024 Accepting new patients
OB Hospitalist Group LLC CurrentSince Dec 16, 2024 Accepting new patients
OB Hospitalist Group LLC Current Accepting new patients
South Broward Hospital District CurrentSince Jul 1, 2021 Accepting new patients
Premiere Perinatal Associates PA Past Accepting new patients
South Broward Hospital District Past Accepting new patients
Vitalmd Group Holding LLC PastSince Jul 7, 2026 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1600 S Andrews Ave
Ste 323
Ft Lauderdale, FL 33316
Phone (954) 355-5110

4105 Pembroke Rd
Hollywood, FL 33021
Phone (954) 985-1551

1150 N 35th Ave
Ste 245
Hollywood, FL 33021
Phone (954) 265-2740

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 11

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1922097963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S. ANDREWS AVENUE",
            "address_2": "SUITE 323 WEST WING",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "954-355-5110",
            "fax_number": "954-355-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S ANDREWS AVE",
            "address_2": "PHOENIX OBSTETRICS/GYNECOLOGY, LLC",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162510",
            "telephone_number": "954-355-5110",
            "fax_number": "954-355-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-PIERRE",
        "first_name": "IMELDA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP2246082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301674900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.