Individual provider Active NPI

Roseclaire Darang

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1033782545
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025508 Issued in FL
Practice address
2399 NW Via Della CT
Port St Lucie, FL 34986-4373
Phone
(781) 812-9709
NPI assigned
Jul 22, 2021
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11025508 FL Primary

Addresses

Primary practice location

2399 NW Via Della CT
Port St Lucie, FL 34986-4373

Mailing address

2399 NW Via Della CT
Port St Lucie, FL 34986-4373

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
I20230712001668 FL Practitioner - Nurse Practitioner 9739549569 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11025508FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Services LC CurrentSince May 11, 2023 Accepting new patients
Tradition Health and Wellness Clinic PLLC CurrentSince Jun 1, 2024 Accepting new patients
Serenity Primary Care LLC CurrentSince Jun 23, 2024 Accepting new patients
Baker Health Medicine PLLC PastSince Jun 5, 2024 Accepting new patients

Locations

10198 SW Village Pkwy
Ste 105
Port St Lucie, FL 34987
Phone (772) 934-4990

1889 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 214-2122

Interoperability endpoints

  • Direct secure messaging: roseclaire.darang.1@24095.direct.athenahealth.com

Organizations & group practices 4

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1033782545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 NW VIA DELLA CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 NW VIA DELLA CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349864373",
            "telephone_number": "781-812-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARANG",
        "first_name": "ROSECLAIRE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.