Individual provider Active NPI

Jan Michelle Lomanta Roflo, DNP

  • Gerontology Nurse Practitioner
  • Crystal River, FL
National Provider Identifier
1013569748
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
11003106 Issued in FL
Practice address
6216 W Gulf to Lake Hwy
Crystal River, FL 34429-7558
Phone
(352) 613-5853
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 11003106 FL
Primary Care Nurse Practitioner 363LP2300X 11003106 FL
Gerontology Nurse Practitioner 363LG0600X 11003106 FL Primary

Addresses

Primary practice location

6216 W Gulf to Lake Hwy
Crystal River, FL 34429-7558

Mailing address

4735 N Apple Valley Ave
Beverly Hills, FL 34465-3008
Phone (352) 613-5853

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://floridahomecarespecialists.devero.com/login.action Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11003106FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Homecare Specialists of Citrus LLC Past Accepting new patients

Organizations & group practices 1

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1013569748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 N APPLE VALLEY AVE",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653008",
            "telephone_number": "352-613-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344297558",
            "telephone_number": "352-613-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMANTA ROFLO",
        "first_name": "JAN",
        "middle_name": "MICHELLE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11003106",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11003106",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11003106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://floridahomecarespecialists.devero.com/login.action",
            "affiliation": "N",
            "endpointDescription": "Electronic medical record",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "url",
            "address_1": "4735 N Apple Valley Ave",
            "city": "Beverly Hills",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344653008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.