Individual provider Active NPI

Rochelle Christine Dela Paz, D.C., APRN

  • Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1295062677
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9477231 Issued in FL
Practice address
800 E Broward Blvd Ste 400
Fort Lauderdale, FL 33301-2033
Phone
(954) 451-5454
NPI assigned
Nov 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11176 TX
Nurse Practitioner 363L00000X 798790 TX
Nurse Practitioner 363L00000X 9477231 FL Primary

Addresses

Primary practice location

800 E Broward Blvd Ste 400
Fort Lauderdale, FL 33301-2033

Mailing address

6836 Bee Cave Rd
Ste. 112
Austin, TX 78746-5059
Phone (512) 327-4243

Other practice location 1

240 Crandon Blvd Ste 212
Key Biscayne, FL 33149-1597
Phone (305) 361-1616

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11176TXMDAddiction (Substance Use Disorder) Counselor
9477231FLMDNurse Practitioner
798790TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trident Anti Aging, LLC PastSince Sep 29, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1295062677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 BEE CAVE RD",
            "address_2": "STE. 112",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465059",
            "telephone_number": "512-327-4243",
            "fax_number": "512-327-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD STE 400",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012033",
            "telephone_number": "954-451-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Crandon Blvd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Key Biscayne",
            "state": "FL",
            "postal_code": "331491597",
            "country_code": "US",
            "telephone_number": "305-361-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELA PAZ",
        "first_name": "ROCHELLE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.C., APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11176",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "798790",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9477231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.