Individual provider Active NPI

Rosalie Orrostieta

  • Family Nurse Practitioner
  • Lakewood Ranch, FL
National Provider Identifier
1184180929
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000724 Issued in FL
Practice address
6310 Health Park Way Ste 200
Lakewood Ranch, FL 34202-5177
Phone
(941) 907-4737
Fax
(941) 907-9493
NPI assigned
Feb 18, 2019
Last updated
Feb 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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 APRN11000724 FL Primary

Addresses

Primary practice location

6310 Health Park Way Ste 200
Lakewood Ranch, FL 34202-5177

Mailing address

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2216

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
I20190321001960 FL Practitioner - Nurse Practitioner 0840530242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Mar 11, 2019 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC PastSince Mar 11, 2019 Accepting new patients

Locations

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

6310 Health Park Way
Ste 200
Lakewood Ranch, FL 34202
Phone (941) 348-1144

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

600 N Cattlemen Rd
Ste 200
Sarasota, FL 34232
Phone (941) 377-9993

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1184180929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 VERONICA S SHOEMAKER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 HEALTH PARK WAY STE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025177",
            "telephone_number": "941-907-4737",
            "fax_number": "941-907-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORROSTIETA",
        "first_name": "ROSALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.