Individual provider Active NPI

Lily Sausa Rocha, MD

  • General Practice Physician
  • Green Cove Springs, FL
National Provider Identifier
1073519518
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0039226 Issued in FL
Practice address
PO Box 578
Green Cove Springs, FL 32043-0578
Phone
(904) 529-2862
Fax
(904) 529-2802
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0039226 FL
General Practice Physician 208D00000X ME0039226 FL Primary

Addresses

Primary practice location

PO Box 578
Green Cove Springs, FL 32043-0578

Mailing address

PO Box 578
Green Cove Springs, FL 32043-0578
Phone (904) 529-2862

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1073519518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320430578",
            "telephone_number": "904-529-2862",
            "fax_number": "904-529-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320430578",
            "telephone_number": "904-529-2862",
            "fax_number": "904-529-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "LILY",
        "middle_name": "SAUSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0039226",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0039226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Cove Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.