Individual provider Active NPI

Roseline Dor

  • Family Nurse Practitioner
  • North Lauderdale, FL
National Provider Identifier
1316459316
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9260010 Issued in FL
Practice address
6037 Kimberly Blvd
North Lauderdale, FL 33068-2811
Phone
(954) 379-8994
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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 9260010 FL Primary

Addresses

Primary practice location

6037 Kimberly Blvd
North Lauderdale, FL 33068-2811

Mailing address

900 Riggins Rd Apt 126
Tallahassee, FL 32308-2212

Other practice location 1

535 Appleyard Dr
Tallahassee, FL 32304-3801
Phone (850) 435-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220119000071 TX Practitioner - Nurse Practitioner 2567854862 Reassigns benefits to 2 organizations
I20230802003884 FL Practitioner - Nurse Practitioner 2567854862

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.86 of 100Reported as group
Quality
61.32
Improvement activities
40
Cost
90.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9260010FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dilkon Medical Center Current Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Sep 30, 2024 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Dec 6, 2021 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Sep 30, 2024 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Dec 6, 2021 Accepting new patients
Dor Medical Services Current Accepting new patients

Locations

500 Indiana Ave
Winslow, AZ 86047

Organizations & group practices 7

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1316459316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIGGINS RD APT 126",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323082212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6037 KIMBERLY BLVD",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682811",
            "telephone_number": "954-379-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Appleyard Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323043801",
            "country_code": "US",
            "telephone_number": "850-435-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOR",
        "first_name": "ROSELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9260010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.