Individual provider Active NPI

Rosalie Marie Villecco, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1457802258
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9317885 Issued in FL
Practice address
1801 Lee Rd Ste 225
Winter Park, FL 32789-2163
Phone
(321) 972-9650
NPI assigned
Oct 18, 2016
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 ARNP9317885 FL Primary

Addresses

Primary practice location

1801 Lee Rd Ste 225
Winter Park, FL 32789-2163

Mailing address

36 Old Macon Dr
Ormond Beach, FL 32174-9029

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9317885FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adly Thebaud,MD,PA Psychiatric/Mental Health PastSince Nov 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rosalie.villecco-smith@115173193613316.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1457802258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 OLD MACON DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LEE RD STE 225",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892163",
            "telephone_number": "321-972-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLECCO",
        "first_name": "ROSALIE",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9317885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.