Individual provider Active NPI

Rosanne Catherine Shinkle, MN, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Casselberry, FL
National Provider Identifier
1063553055
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP 524752 Issued in FL
Practice address
237 Fernwood Blvd Ste 111
Casselberry, FL 32730-2116
Phone
(407) 332-6506
Fax
(407) 830-4073
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP 524752 FL Primary

Addresses

Primary practice location

237 Fernwood Blvd Ste 111
Casselberry, FL 32730-2116

Mailing address

1703 Stockport St
Winter Springs, FL 32708-6145
Phone (407) 538-4569

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
ARNP 524752FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063553055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 STOCKPORT ST",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086145",
            "telephone_number": "407-538-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 FERNWOOD BLVD STE 111",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327302116",
            "telephone_number": "407-332-6506",
            "fax_number": "407-830-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINKLE",
        "first_name": "ROSANNE",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MN, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP 524752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.