Individual provider Active NPI

Jaime A Arredondo, APRN

  • Family Nurse Practitioner
  • Charleston, SC
National Provider Identifier
1932807336
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024403 Issued in FL
Practice address
204 W Hill Blvd
Charleston, SC 29404-4704
Phone
(843) 963-6594
NPI assigned
Feb 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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 11024403 FL Primary

Addresses

Primary practice location

204 W Hill Blvd
Charleston, SC 29404-4704

Mailing address

204 W Hill Blvd
Charleston, SC 29404-4704
Phone (843) 963-6594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230318000110 TX Practitioner - Nurse Practitioner 8820462658 Reassigns benefits to 1 organization
I20230814004216 FL Practitioner - Nurse Practitioner 8820462658 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024403FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Dec 9, 2024 Accepting new patients
Baycare Medical Group, Inc CurrentSince Dec 9, 2024 Accepting new patients
Baycare Medical Group, Inc. Current Accepting new patients
Pediatrix Medical Group of Florida Inc CurrentSince Jul 1, 2023 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

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

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

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3001 W Mlk Blvd
Fl 1
Tampa, FL 33607
Phone (813) 321-6820

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

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

3003 W Mlk Blvd
Fl 3
Tampa, FL 33607
Phone (813) 554-8701

3003 W Dr Martin Luther King Jr Blvd
Ste 304
Tampa, FL 33607
Phone (813) 554-8701

4501 Bruce B Downs Blvd
Ste 205
Wesley Chapel, FL 33544
Phone (813) 914-2000

Organizations & group practices 5

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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1932807336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W HILL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294044704",
            "telephone_number": "843-963-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W HILL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294044704",
            "telephone_number": "843-963-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREDONDO",
        "first_name": "JAIME",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11024403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.