Individual provider Active NPI

Roxana C Orta, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cooper City, FL
National Provider Identifier
1356646467
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9252435 Issued in FL
Practice address
4917 SW 90TH Ave
Cooper City, FL 33328-3620
Phone
(786) 344-2232
NPI assigned
Jan 20, 2011
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 92522435 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9252435 FL Primary

Addresses

Primary practice location

4917 SW 90TH Ave
Cooper City, FL 33328-3620

Mailing address

4917 SW 90TH Ave
Cooper City, FL 33328-3620
Phone (786) 344-2232

Other practice location 1

7011 W 29th Ave Apt 117
Hialeah, FL 33018-5382
Phone (786) 344-2232

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
ARNP 92522435FLMDAdult Health Nurse Practitioner
9252435FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1356646467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 SW 90TH AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283620",
            "telephone_number": "786-344-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 SW 90TH AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333283620",
            "telephone_number": "786-344-2232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7011 W 29th Ave Apt 117",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330185382",
            "country_code": "US",
            "telephone_number": "786-344-2232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTA",
        "first_name": "ROXANA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 92522435",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9252435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.