Active NPI
Rose Lavine McGhie-Anderson, PHD, APRN, FNP-BC
- Family Nurse Practitioner
- Miramar, FL
National Provider Identifier
1104477553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11000790
- Practice address
- 7642 Kismet St
Miramar, FL 33023-5949 - Phone
- (954) 709-6545
- Fax
- (954) 369-4742
- NPI assigned
- Sep 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11000790 | FL | Primary |
Addresses
Primary practice location
7642 Kismet St
Miramar, FL 33023-5949
Mailing address
12757 SW 54TH CT
Miramar, FL 33027-5566
Phone (954) 663-8528
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@kismetcottagellc.com | Direct |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11000790 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kismet Cottage, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Miramar, FL
- NPI 1225492853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1104477553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12757 SW 54TH CT",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330275566",
"telephone_number": "954-663-8528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7642 KISMET ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330235949",
"telephone_number": "954-709-6545",
"fax_number": "954-369-4742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGHIE-ANDERSON",
"first_name": "ROSE",
"middle_name": "LAVINE",
"credential": "PHD, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11000790",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@kismetcottagellc.com",
"affiliation": "N",
"endpointDescription": "fax",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7642 Kismet St",
"city": "Miramar",
"state": "FL",
"country_code": "US",
"postal_code": "330235949",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.