Individual provider Active NPI

Rose Lavine McGhie-Anderson, PHD, APRN, FNP-BC

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1104477553
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000790 Issued in FL
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

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
11000790FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kismet Cottage, LLC PastSince Sep 29, 2019 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.

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.

Verify at the official NPI Registry.