Individual provider Active NPI

Rose-Estelle Tania Celestin-Obas, AGACNP

  • Adult Health Nurse Practitioner
  • Aventura, FL
National Provider Identifier
1205487063
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11004895 Issued in FL
Practice address
2820 NE 214TH St Ste 809
Aventura, FL 33180-1270
Phone
(754) 600-1396
NPI assigned
Sep 24, 2019
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11004895 FL Primary

Addresses

Primary practice location

2820 NE 214TH St Ste 809
Aventura, FL 33180-1270

Mailing address

2820 NE 214TH St Ste 809
Aventura, FL 33180-1270
Phone (786) 395-5481

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
I20240925001230 FL Practitioner - Nurse Practitioner 8123569555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seegott Health LLCGroup PAC ID 6709249212, 4 clinicians

Practice addresses (Care Compare)

1165 SW 27TH St
Palm City, FL 34990-2907
Phone (772) 255-6565

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004895FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seegott Health LLC CurrentSince Aug 1, 2024 Accepting new patients
Obas Lab Diagnostics CurrentSince Mar 12, 2024 Accepting new patients

Locations

2820 NE 214th St
Ste 809
Aventura, FL 33180
Phone (754) 600-1396

1165 SW 27th St
Palm City, FL 34990
Phone (772) 255-6565

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1205487063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NE 214TH ST STE 809",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801270",
            "telephone_number": "786-395-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NE 214TH ST STE 809",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801270",
            "telephone_number": "754-600-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELESTIN-OBAS",
        "first_name": "ROSE-ESTELLE",
        "middle_name": "TANIA",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11004895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.