JENNIFER T PENICHET (NPI# 1679943930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679943930 |
| Entity Type | Individual |
| Full Name | JENNIFER T PENICHET |
| Credential | ARNP |
| Practice Address |
12600 Pembroke Rd Suite 312 Miramar FL 33027-2544 |
| Mailing Address |
15476 Nw 77th Ct #609 Miami Lakes FL 33016-5823 |
| Practice Telephone | 9544317681 |
| Practice Fax Number | 9544317682 |
| Mailing Telephone | 7863037458 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP9328086 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9328086 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12600 PEMBROKE RD SUITE 312 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33027-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101175 | Jose E Mendez | Dermatology | 12600 Pembroke Rd, Suite 312, Miramar, FL 33027-2544 | 2005-08-16 |
| 1205345907 | Ana Iris Garcia | Nurse Practitioner | 12600 Pembroke Rd, Miramar, FL 33027-2544 | 2017-09-25 |
| 1962942599 | Erika Vanessa Vargas | Nurse Practitioner | 12600 Pembroke Rd, Suite 206, Miramar, FL 33027-2544 | 2017-03-01 |
| 1457803546 | Naiviv Hernandez Rivero | Nurse Practitioner | 12600 Pembroke Rd, Ste 206, Miramar, FL 33027-2544 | 2016-10-25 |
| 1881007938 | Flamingo Women's Pavilion LLC | Non-Pharmacy Dispensing Site | 12600 Pembroke Rd, Suite 202, Miramar, FL 33027-2544 | 2014-06-06 |
| 1891126389 | Palm Springs Medical Mso of South Fl P.a. | Health Maintenance Organization | 12600 Pembroke Rd, Suite 300, Miramar, FL 33027-2544 | 2013-12-09 |
| 1548606437 | Eduardo Andre | Internal Medicine | 12600 Pembroke Rd, Suite 204, Miramar, FL 33027-2544 | 2013-05-17 |
| 1124363676 | Dentalmed Associates, LLC | Dentist | 12600 Pembroke Rd, Suite 314, Miramar, FL 33027-2544 | 2012-12-10 |
| 1669717773 | Ann Mazor Reed | Dermatology | 12600 Pembroke Rd, Suite 310, Miramar, FL 33027-2544 | 2012-11-29 |
| 1801161492 | Jc Rodriguez Md LLC | Internal Medicine | 12600 Pembroke Rd, Suite 200, Miramar, FL 33027-2544 | 2012-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| 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 |
|---|---|---|---|---|
| 1316548126 | Mitza Lacroix | Nurse Practitioner | 2670 Sw 83rd Ave, Miramar, FL 33025-7413 | 2020-11-06 |
| 1235756529 | Maria Gabriela Cortes | Nurse Practitioner | 12600 Pembroke Rd Ste 206, Miramar, FL 33027-2544 | 2020-07-02 |
| 1114554425 | Mg Medical LLC | Nurse Practitioner | 18743 Sw 24th St, Miramar, FL 33029-5934 | 2020-03-25 |
| 1831723790 | Rodney Myers | Nurse Practitioner | 2741 Sw 88th Ave, Miramar, FL 33025-2553 | 2020-02-28 |
| 1326671728 | Papiya Kakani | Nurse Practitioner | 5191 Sw 131st Ter, Miramar, FL 33027-5525 | 2020-02-14 |
| 1548819105 | Martine Vernet Andreus | Nurse Practitioner | 1851 Sw 101st Way, Miramar, FL 33025-6531 | 2019-09-06 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1972159408 | Sabrina Elyz Gonzalez | Nurse Practitioner | 6604 Arbor Dr, Miramar, FL 33023-4902 | 2019-08-12 |
| 1164992632 | Alejandro J Forcelledo | Nurse Practitioner | 12633 Sw 54th St, Miramar, FL 33027-5491 | 2018-11-27 |
| 1487123774 | Luis Manuel Blanco Fnp-c LLC | Nurse Practitioner | 2979 Sw 134th Ave, Miramar, FL 33027-3915 | 2018-11-16 |
| Find all providers in MIRAMAR | ||||
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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.