SERGENE DEJEAN (NPI# 1255891362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255891362 |
| Entity Type | Individual |
| Full Name | SERGENE DEJEAN |
| Practice Address |
1400 Nw 12th Ave Miami FL 33136-1003 |
| Mailing Address |
5273 Sw 121st Ter Cooper City FL 33330-4279 |
| Practice Telephone | 3056895881 |
| Mailing Telephone | 3053369360 |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
9274321 | FL | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | APRN9274321 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211832 | Thomas J Fernandez | Nurse Anesthetist, Certified Registered | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2005-08-03 |
| 1811598469 | Elizabeth Olga Ferrer | Dietitian, Registered | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-11-02 |
| 1043810286 | Jose R Belen | Physician Assistant | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-27 |
| 1023617438 | Lazaro Alejandro Gonzalez | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-19 |
| 1285232843 | Julia Bradley | Physical Therapist | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-15 |
| 1841816386 | Daniel Andres Lozada | Registered Nurse | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-06-21 |
| 1346873296 | Lillian Soto | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-02-19 |
| 1699315804 | Laira D Sanchez | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-01-15 |
| 1093350803 | Edgard Roa | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2019-11-15 |
| 1659915569 | Natalie Collazo | Registered Nurse | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2019-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| 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 |
|---|---|---|---|---|
| 1962003004 | Yudaisy Salgueiro | Nurse Practitioner | 307 Nw 72nd Ave Apt 319, Miami, FL 33126-4304 | 2020-11-05 |
| 1497354153 | Osmel Martinez Rosales | Nurse Practitioner | 12401 Sw 187th St, Miami, FL 33177-3129 | 2020-10-22 |
| 1578161980 | Yudiel Alvarez | Nurse Practitioner | 12460 Sw 31st Ter, Miami, FL 33175-2653 | 2020-10-16 |
| 1134727621 | Michel Hernandez Hernandez | Nurse Practitioner | 9545 Sw 24th St Apt B311, Miami, FL 33165-8054 | 2020-10-15 |
| 1316545023 | Yisel Castro Someillan | Nurse Practitioner | 8141 Sw 152nd Ct, Miami, FL 33193-1305 | 2020-10-14 |
| 1841898566 | Yanela Mesa | Nurse Practitioner | 20842 Sw 121st Ave, Miami, FL 33177-5347 | 2020-10-14 |
| 1861099178 | Ninoska Monteiro | Nurse Practitioner | 9310 Sw 103rd Ave, Miami, FL 33176-1610 | 2020-10-08 |
| 1740887488 | Chelsie Ortiz | Nurse Practitioner | 2651 Nw 84th Ave Apt 104, Miami, FL 33122-1570 | 2020-10-06 |
| 1992302756 | Eduardo Novoa Cianelli | Nurse Practitioner | 15350 Sw 34th St, Miami, FL 33185-4725 | 2020-10-05 |
| 1730796426 | Claudia Fages | Nurse Practitioner | 140 Nw 58th Ct, Miami, FL 33126-4736 | 2020-09-26 |
| Find all providers in MIAMI | ||||
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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.