Active NPI
Rosie Poussin, ARNP
- Nurse Practitioner
- Miami, FL
National Provider Identifier
1174945638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9345743
- Practice address
- 10525 SW 112TH Ave Apt 211
Miami, FL 33176 - Phone
- (786) 488-7995
- NPI assigned
- Jan 16, 2014
- Last updated
- Jul 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9345743 | FL | Primary |
Addresses
Primary practice location
10525 SW 112TH Ave Apt 211
Miami, FL 33176
Mailing address
10525 SW 112TH Ave Apt 211
Miami, FL 33176-8229
Phone (786) 488-7995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01049970 | Medicaid | FL |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9345743 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Miami, FL
- NPI 1871572032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1174945638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10525 SW 112TH AVE APT 211",
"city": "MIAMI",
"state": "FL",
"postal_code": "331768229",
"telephone_number": "786-488-7995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10525 SW 112TH AVE APT 211",
"city": "MIAMI",
"state": "FL",
"postal_code": "33176",
"telephone_number": "786-488-7995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUSSIN",
"first_name": "ROSIE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9345743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01049970",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.