Crystal De la Rosa, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

9578454 Issued in FL

Practice address

1845 Holsonback Dr
Daytona Beach, FL 32117-5282

Phone

(386) 547-2039

Fax

(386) 274-0518

NPI assigned

Jun 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1104711142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 VICTORIA OAKS BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327247587",
            "telephone_number": "845-642-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 HOLSONBACK DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175282",
            "telephone_number": "386-547-2039",
            "fax_number": "386-274-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "CRYSTAL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "9578454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daytona MRI LLC
• Daytona Peoples Medical Supply
• Daytona Peoples Pharmacy LLC
• Daytona Rehab LLC
• Suzan De Feo, APRN
• Sheena Orlaivia Dean Franklin, LPT
• Jessica Isabel Dean, DPM
• Shani Toii Dean, LMHC
• Charles Robert Dearmas Jr., M.D.
• Linda Sue Debello, LPN

• Community Health Registered Nurse in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Community Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.