Individual provider Active NPI

Roshani Jayanti Patel

  • Family Nurse Practitioner
  • Winter Springs, FL
National Provider Identifier
1255935060
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010284 Issued in FL
Practice address
503 Buckhorn Dr
Winter Springs, FL 32708-6509
Phone
(847) 800-7134
NPI assigned
Nov 23, 2020
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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 11010284 FL Primary

Addresses

Primary practice location

503 Buckhorn Dr
Winter Springs, FL 32708-6509

Mailing address

503 Buckhorn Dr
Winter Springs, FL 32708-6509
Phone (847) 800-7134

Other names 1

  • Ms. Roshani Jayanti Patel Professional name

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
11010284FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1255935060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BUCKHORN DR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086509",
            "telephone_number": "847-800-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BUCKHORN DR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086509",
            "telephone_number": "847-800-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ROSHANI",
        "middle_name": "JAYANTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSHANI",
            "last_name": "PATEL",
            "middle_name": "JAYANTI",
            "prefix": "MS.",
            "credential": "MSN, ARNP, FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.