Active NPI
Michele Roman Muskus, ARNP
- Nurse Practitioner
- Maitland, FL
National Provider Identifier
1093741845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP1713562
- Practice address
- 100 E Sybelia Ave Ste 100
Nemours Childrens Primary Care
Maitland, FL 32751-4748 - Phone
- (407) 636-6520
- Fax
- (407) 636-6525
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1713562 | FL | |
| Nurse Practitioner | 363L00000X | ARNP1713562 | FL | Primary |
Addresses
Primary practice location
100 E Sybelia Ave Ste 100
Nemours Childrens Primary Care
Maitland, FL 32751-4748
Mailing address
PO Box 191
Provider Enrollment Department
Rockland, DE 19732-0191
Phone (407) 650-7117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000807900 | Medicaid | FL |
Other names 1
- Michele Esther Roman
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1713562 | FL | MD | Nurse Practitioner |
| 1713562 | FL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1093741845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"address_2": "PROVIDER ENROLLMENT DEPARTMENT",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "407-650-7117",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SYBELIA AVE STE 100",
"address_2": "NEMOURS CHILDRENS PRIMARY CARE",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514748",
"telephone_number": "407-636-6520",
"fax_number": "407-636-6525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSKUS",
"first_name": "MICHELE",
"middle_name": "ROMAN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "1713562",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP1713562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000807900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "ROMAN",
"middle_name": "ESTHER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.