Individual provider Active NPI

Michele Roman Muskus, ARNP

  • Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1093741845
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1713562 Issued in FL
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

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000807900MedicaidFL

Other names 1

  • Michele Esther Roman Other name

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
ARNP1713562FLMDNurse Practitioner
1713562FLMDPediatric 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.

Verify at the official NPI Registry.