Individual provider Active NPI

Lloyda Maxine Rose-Baxter, MSN, ANP-,RN-BC, CCM

  • Adult Health Nurse Practitioner
  • Ocoee, FL
National Provider Identifier
1174870646
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9180759 Issued in FL
Practice address
557 Zinfandel CT
Ocoee, FL 34761-5037
Phone
(407) 877-7362
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9180759 FL
Adult Health Nurse Practitioner 363LA2200X ARNP9180759 FL Primary
Case Management Registered Nurse 163WC0400X 2011001242 FL
Gerontology Registered Nurse 163WG0600X 2010010110 FL

Addresses

Primary practice location

557 Zinfandel CT
Ocoee, FL 34761-5037

Mailing address

557 Zinfandel CT
Ocoee, FL 34761-5037
Phone (407) 765-3130

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9180759FLMDRegistered Nurse
2011001242FLMDCase Management Registered Nurse
2010010110FLMDGerontology Registered Nurse
ARNP9180759FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1174870646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 ZINFANDEL CT",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615037",
            "telephone_number": "407-765-3130",
            "fax_number": "407-877-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 ZINFANDEL CT",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615037",
            "telephone_number": "407-877-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE-BAXTER",
        "first_name": "LLOYDA",
        "middle_name": "MAXINE",
        "credential": "MSN, ANP-,RN-BC, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9180759",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9180759",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "2011001242",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "FL",
            "license": "2010010110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.