Active NPI
Angie Rojas, NP
- Family Nurse Practitioner
- Saint Cloud, FL
National Provider Identifier
1124645742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1104279
- Practice address
- 4745 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400 - Phone
- (407) 818-1664
- NPI assigned
- Jun 30, 2020
- 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 | 1104279 | FL | Primary |
Addresses
Primary practice location
4745 Old Canoe Creek Rd
Saint Cloud, FL 34769-1400
Mailing address
440 N Scenic Hwy
Babson Park, FL 33827-8709
Phone (863) 978-9808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNSURE | Other | UNSURE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | unsure |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1104279 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1124645742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N SCENIC HWY",
"city": "BABSON PARK",
"state": "FL",
"postal_code": "338278709",
"telephone_number": "863-978-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 OLD CANOE CREEK RD",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347691400",
"telephone_number": "407-818-1664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROJAS",
"first_name": "ANGIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "1104279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNSURE",
"identifier": "UNSURE",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "unsure",
"affiliation": "N",
"address_1": "4745 Old Canoe Creek Rd",
"city": "Saint Cloud",
"state": "FL",
"country_code": "US",
"postal_code": "347691400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.