Individual provider Active NPI

Rose Philius, ARNP

  • Women's Health Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1104488337
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN11003450 Issued in FL
Practice address
2330 S Congress Ave
West Palm Beach, FL 33406-7608
Phone
(561) 432-5849
Fax
(561) 432-9732
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003450 FL
Women's Health Nurse Practitioner 363LW0102X APRN11003450 FL Primary

Addresses

Primary practice location

2330 S Congress Ave
West Palm Beach, FL 33406-7608

Mailing address

2330 S Congress Ave
West Palm Beach, FL 33406-7608
Phone (561) 432-5849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218001685 FL Practitioner - Nurse Practitioner 9931533387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11003450FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundcare, Inc CurrentSince Nov 4, 2019 Accepting new patients
Foundcare, Inc CurrentSince Nov 4, 2019 Accepting new patients
Foundcare, Inc. Past Accepting new patients

Locations

840 US Highway 1
Ste 120
North Palm Beach, FL 33408
Phone (561) 776-8300

5867 Okeechobee Blvd
West Palm Beach, FL 33417
Phone (561) 432-5849

2330 S Congress Ave
West Palm Beach, FL 33406
Phone (561) 432-5849

Organizations & group practices 3

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1104488337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 S CONGRESS AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067608",
            "telephone_number": "561-432-5849",
            "fax_number": "561-432-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 S CONGRESS AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334067608",
            "telephone_number": "561-432-5849",
            "fax_number": "561-432-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIUS",
        "first_name": "ROSE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003450",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11003450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.