Individual provider Active NPI

Rose L Delva, MD/MSN/FNP/APRN

  • Family Nurse Practitioner
  • Southwest Ranches, FL
National Provider Identifier
1346786142
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1699162 Issued in FL
Practice address
6080 SW 180TH Ter
Southwest Ranches, FL 33331-1604
Phone
(954) 865-7548
Fax
(305) 653-0590
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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 1699162 FL Primary

Addresses

Primary practice location

6080 SW 180TH Ter
Southwest Ranches, FL 33331-1604

Mailing address

6080 SW 180TH Ter
Southwest Ranches, FL 33331-1604
Phone (954) 865-7548

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
Credentials
Doctor of Medicine, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1699162FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Pediatrics Past 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": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1346786142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 SW 180TH TER",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311604",
            "telephone_number": "954-865-7548",
            "fax_number": "305-653-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 SW 180TH TER",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333311604",
            "telephone_number": "954-865-7548",
            "fax_number": "305-653-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVA",
        "first_name": "ROSE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD/MSN/FNP/APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1699162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Ranches, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.