Active NPI
Oxygen Works LLC
- Family Nurse Practitioner
- Wellington, FL
National Provider Identifier
1124829593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- OXYGEN WORKS LLC
- Practice address
- 12008 S Shore Blvd Ste 210
Wellington, FL 33414-6396 - Phone
- (561) 290-2612
- NPI assigned
- Mar 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Rousso
- Title
- Ceo
- Phone
- (561) 290-2612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
12008 S Shore Blvd Ste 210
Wellington, FL 33414-6396
Mailing address
12008 S Shore Blvd Ste 210
Wellington, FL 33414-6396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1124829593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12008 S SHORE BLVD STE 210",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12008 S SHORE BLVD STE 210",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146396",
"telephone_number": "561-290-2612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OXYGEN WORKS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-21",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "ROUSSO",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-290-2612"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.