Active NPI
Sydney Rae Rosen, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Delray Beach, FL
National Provider Identifier
1013614015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11024366
- Practice address
- 550 SE 6TH Ave Ste 200R3
Delray Beach, FL 33483-5306 - Phone
- (561) 819-7004
- Fax
- (334) 367-1351
- NPI assigned
- Feb 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11024366 | FL | Primary |
Addresses
Primary practice location
550 SE 6TH Ave Ste 200R3
Delray Beach, FL 33483-5306
Mailing address
550 SE 6TH Ave Ste 200R3
Delray Beach, FL 33483-5306
Phone (561) 819-7004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11024366 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708732800000",
"number": "1013614015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 SE 6TH AVE STE 200R3",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835306",
"telephone_number": "561-819-7004",
"fax_number": "334-367-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 SE 6TH AVE STE 200R3",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334835306",
"telephone_number": "561-819-7004",
"fax_number": "334-367-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "SYDNEY",
"middle_name": "RAE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-09",
"last_updated": "2024-02-24",
"certification_date": "2024-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11024366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.