Individual provider Active NPI

Rosalba Fico, HOUSE PHYSICIAN

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1225690944
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11039114 Issued in FL
Practice address
2290 10TH Ave N
Lake Worth, FL 33461-6607
Phone
(561) 296-2220
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9617446 FL
Family Nurse Practitioner 363LF0000X 11039114 FL Primary
Hospitalist Physician 208M00000X HSE28916 FL

Addresses

Primary practice location

2290 10TH Ave N
Lake Worth, FL 33461-6607

Mailing address

10030 NW 41St St
Doral, FL 33178-2919
Phone (305) 988-7883

Other practice location 1

10030 NW 41st St
Doral, FL 33178-2919
Phone (305) 988-7883 ext. 87883

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

State licenses

LicenseStateTypeSpecialty
9617446FLMDRegistered Nurse
HSE28916FLMDHospitalist Physician
11039114FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1225690944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10030 NW 41ST ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782919",
            "telephone_number": "305-988-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 10TH AVE N",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616607",
            "telephone_number": "561-296-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10030 NW 41st St",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331782919",
            "country_code": "US",
            "telephone_number": "305-988-7883 x87883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FICO",
        "first_name": "ROSALBA",
        "credential": "HOUSE PHYSICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9617446",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11039114",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "HSE28916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; 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.