Individual provider Active NPI

Jennifer Eve Rosenberg-Ocadiz, ARNP

  • Family Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1477008050
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9265362 Issued in FL
Practice address
707 Platinum PT
Lake Mary, FL 32746-5702
Phone
(407) 878-0910
Fax
(407) 878-0911
NPI assigned
Aug 24, 2016
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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 APRN9265362 FL Primary

Addresses

Primary practice location

707 Platinum PT
Lake Mary, FL 32746-5702

Mailing address

PO Box 9671
Daytona Beach, FL 32120-9671

Other practice location 1

1925 Providence Blvd
Deltona, FL 32725-3945
Phone (386) 774-7262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181108000791 FL Practitioner - Nurse Practitioner 0345594461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9265362FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Bariatrics, Inc. CurrentSince Sep 10, 2018 Accepting new patients

Locations

201 N Clyde Morris Blvd
Ste 100A
Daytona Beach, FL 32114
Phone (386) 238-3295

707 Platinum Pt
Lake Mary, FL 32746
Phone (386) 481-6774

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1477008050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9671",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321209671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PLATINUM PT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465702",
            "telephone_number": "407-878-0910",
            "fax_number": "407-878-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Providence Blvd",
            "address_purpose": "LOCATION",
            "city": "Deltona",
            "state": "FL",
            "postal_code": "327253945",
            "country_code": "US",
            "telephone_number": "386-774-7262",
            "fax_number": "386-481-5531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG-OCADIZ",
        "first_name": "JENNIFER",
        "middle_name": "EVE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9265362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.