Individual provider Active NPI

Nicole K Rodolpho, ARNP

  • Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1003432758
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11007636 Issued in FL
Practice address
2601 W Broward Blvd RM 329
Fort Lauderdale, FL 33312-1308
Phone
(954) 458-1199
Fax
(877) 245-1839
NPI assigned
Jun 18, 2020
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11007636 FL Primary

Addresses

Primary practice location

2601 W Broward Blvd RM 329
Fort Lauderdale, FL 33312-1308

Mailing address

1500 N University Dr Ste 101
Coral Springs, FL 33071-6071
Phone (954) 458-1199

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nicolem@floridaspinespecialists.com Direct

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728001519 FL Practitioner - Nurse Practitioner 0547684292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6000 N Federal Hwy
Fort Lauderdale, FL 33308-2226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007636FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Relief Solutions CurrentSince Sep 1, 2025 Accepting new patients
Pain Relief Solutions CurrentSince Sep 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Past Accepting new patients

Locations

2820 NE 214th St
Ste 701
Aventura, FL 33180

2900 N Military Trl
Ste 201
Boca Raton, FL 33431
Phone (561) 241-0025

2601 W Broward Blvd
Rm 329
Fort Lauderdale, FL 33312

1345 NE 4th Ave
Ft Lauderdale, FL 33304

2601 W Broward Blvd
Ft Lauderdale, FL 33312
Phone (954) 831-8200

7050 NW 4th St
Ste 206
Plantation, FL 33317
Phone 9544581199101

1500 N University Dr
Ste 101
Pompano Beach, FL 33071
Phone 9544581199101

2151 45th St
Ste 204
West Palm Beach, FL 33407
Phone (561) 863-7800

Interoperability endpoints

  • Direct secure messaging: nicole.rodolpho.p1@direct.advancedreliefmso.nextgenshare.com
  • Direct secure messaging: nicole.rodolpho.p1@direct.flaspinespecialists.nextgenshare.com
  • Direct secure messaging: nicole.rodolpho@mpl-fl.direct.office.nextgen.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1003432758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N UNIVERSITY DR STE 101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716071",
            "telephone_number": "954-458-1199",
            "fax_number": "877-349-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W BROWARD BLVD RM 329",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121308",
            "telephone_number": "954-458-1199",
            "fax_number": "877-245-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODOLPHO",
        "first_name": "NICOLE",
        "middle_name": "K",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11007636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicolem@floridaspinespecialists.com",
            "affiliation": "N",
            "endpointDescription": "E-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6000 N Federal Hwy",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333082226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.