Individual provider Active NPI

Rocio Labrada, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1154923290
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010096 Issued in FL
Practice address
2306 North Blvd W Ste C
Davenport, FL 33837-8976
Phone
(863) 547-9200
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 APRN11010096 FL Primary

Addresses

Primary practice location

2306 North Blvd W Ste C
Davenport, FL 33837-8976

Mailing address

2306 North Blvd W
Ste C
Davenport, FL 33837-8976

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
I20210120002928 FL Practitioner - Nurse Practitioner 0143634873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11010096FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Family Practice LLC CurrentSince Apr 20, 2022 Accepting new patients
De Novo Wellness & Mental Health LLC PastSince Aug 23, 2020 Accepting new patients

Locations

401 W Oak St
Kissimmee, FL 34741
Phone (407) 674-2044

1192 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 674-2044

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHJGCD/Endpoint/JHJGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBFCA

Organizations & group practices 2

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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1154923290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 NORTH BLVD W",
            "address_2": "STE C",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 NORTH BLVD W STE C",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378976",
            "telephone_number": "863-547-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRADA",
        "first_name": "ROCIO",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.