Rose Andree Destine, RN

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Practice address

1489 N Military TRL Ste 112
West Palm Beach, FL 33409-6030

Phone

(561) 633-1404

NPI assigned

Oct 16, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Holistic Care Solutions

  • In Home Supportive Care Agency
  • West Palm Beach, FL
  • NPI 1730851437

  Clinical Medical Laboratory

  NPD Authorized official

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1023529161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 N MILITARY TRL STE 112",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096030",
            "telephone_number": "561-633-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 N MILITARY TRL STE 112",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096030",
            "telephone_number": "561-633-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESTINE",
        "first_name": "ROSE",
        "middle_name": "ANDREE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9466371",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "23838",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Desire
• Oriese Desormais
• Desoto Pharmacy
• Kivikitaha Desouvre, MHS
• Malen Destinasse
• Kemisha Desvallons
• Detox Solutions of the Palm Beaches
• Christian Deuloffeu
• Judith Devallon
• Mona Devanesan, M.D.

• Clinical Medical Laboratory in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.