Rose Carla Rousseau, FNP-C, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11001838 Issued in FL

Practice address

20200 W Dixie Hwy Ste 1108
Aventura, FL 33180-1922

Phone

(305) 949-6003

NPI assigned

Mar 21, 2019

Last updated

Sep 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  Medicare reassignment NPD

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1023578440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20200 W DIXIE HWY STE 1108",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801922",
            "telephone_number": "305-949-6003",
            "fax_number": "305-945-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20200 W DIXIE HWY STE 1108",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801922",
            "telephone_number": "305-949-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20200 W Dixie Hwy Ste 1108",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "33180",
            "country_code": "US",
            "telephone_number": "305-949-6003",
            "fax_number": "305-945-2483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20200 W Dixie Hwy Ste 1108",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "33180",
            "country_code": "US",
            "telephone_number": "305-949-6003",
            "fax_number": "305-945-2483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "ROSE",
        "middle_name": "CARLA",
        "credential": "FNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Aventura, FL
• Providers in Aventura, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.