JACQUELINE CEREIJO (NPI# 1124413786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124413786 |
| Entity Type | Individual |
| Full Name | JACQUELINE CEREIJO |
| Credential | APRN |
| Practice Address |
1150 N 35th Ave Ste 170 Hollywood FL 33021-5424 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542654325 |
| Practice Fax Number | 9549852451 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857081 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN9175902 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015195400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1150 N 35th Ave Ste 330, Hollywood, FL 330215488 | 9542654325 | 9549813872 |
| Street Address |
1150 N 35TH AVE STE 170 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578512240 | Heather R Wright | Surgery | 1150 N 35th Ave Ste 170, Hollywood, FL 33021-5424 | 2006-05-09 |
| 1700270659 | Judith Sarah Tonya Wafe | Nurse Practitioner | 1150 N 35th Ave Ste 170, Hollywood, FL 33021-5424 | 2015-03-27 |
| 1174944094 | Lisa Saintil | Nurse Practitioner | 1150 N 35th Ave Ste 170, Hollywood, FL 33021 | 2013-12-18 |
| 1518105634 | Delia C Guaqueta | Internal Medicine | 1150 N 35th Ave Ste 170, Hollywood, FL 33021-5424 | 2009-01-27 |
| 1518132570 | Michel Velez | Internal Medicine | 1150 N 35th Ave Ste 170, Hollywood, FL 33021 | 2008-04-29 |
| 1689885022 | Marcelo Blaya | Internal Medicine | 1150 N 35th Ave Ste 170, Hollywood, FL 33021 | 2007-05-25 |
| 1528076452 | South Broward Hospital District | Surgery | 1150 N 35th Ave Ste 170, Hollywood, FL 33021 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543947 | Naomi Sarah Strong | Nurse Practitioner | 1643 Plunkett St Apt 2, Hollywood, FL 33020-6443 | 2020-09-17 |
| 1912512716 | Jasmine Sicard | Nurse Practitioner | 4340 Sheridan St Unit 202, Hollywood, FL 33021-3567 | 2020-09-09 |
| 1740891514 | Emelina Doana Biddy | Nurse Practitioner | 6740 Cleveland St, Hollywood, FL 33024-5739 | 2020-08-13 |
| 1912516139 | Jp Rock Consulting Inc | Nurse Practitioner | 5619 Madison St, Hollywood, FL 33023 | 2020-07-23 |
| 1538703376 | Heather Perkowski | Nurse Practitioner | 3800 Johnson St Ste D, Hollywood, FL 33021-6052 | 2019-11-05 |
| 1750840260 | Catherine Pinillos | Nurse Practitioner | 2543 Adams St, Hollywood, FL 33020-5324 | 2019-03-14 |
| 1699245993 | Farrah Ashley Abergel | Nurse Practitioner | 4340 Sheridan St Ste 202, Hollywood, FL 33021-3567 | 2018-11-29 |
| 1073020145 | Carol Alejandra Parrales | Nurse Practitioner | 3850 Hollywood Blvd Fl 12, Hollywood, FL 33021-6748 | 2018-01-10 |
| 1750898060 | Victoria June Haig | Nurse Practitioner | 4350 Sheridan St Ste 102, Hollywood, FL 33021-3556 | 2018-01-08 |
| 1942662218 | Xavier P Yanez | Nurse Practitioner | 5920 Johnson St Ste 108-110, Hollywood, FL 33021-5652 | 2016-03-24 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.