Active NPI
Holly Fairbanks Rosvik, ARNP
- Family Nurse Practitioner
- Orlando, FL
National Provider Identifier
1407828155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN 3310302
- Practice address
- 701 W Morse Blvd
Orlando, FL 32789 - Phone
- (407) 629-5555
- NPI assigned
- Feb 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN 3310302 | FL | Primary |
Addresses
Primary practice location
701 W Morse Blvd
Orlando, FL 32789
Mailing address
3063 Stanfield Ave
Orlando, FL 32814-6778
Phone (407) 228-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN 3310302 | Other | FL | NURSING LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN 3310302 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1407828155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3063 STANFIELD AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328146778",
"telephone_number": "407-228-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W MORSE BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32789",
"telephone_number": "407-629-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSVIK",
"first_name": "HOLLY",
"middle_name": "FAIRBANKS",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-06",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "RN 3310302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "RN 3310302",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.