Individual provider Active NPI

Roseline Coissy

  • Registered Nurse
  • North Lauderdale, FL
National Provider Identifier
1487314456
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9404968 Issued in FL
Practice address
814 E Palm Run Dr
North Lauderdale, FL 33068-2712
Phone
(954) 913-3184
NPI assigned
Dec 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9404968 FL Primary

Addresses

Primary practice location

814 E Palm Run Dr
North Lauderdale, FL 33068-2712

Mailing address

814 E Palm Run Dr
North Lauderdale, FL 33068-2712
Phone (954) 913-3184

Other identifiers 1

IdentifierTypeStateIssuer
87-2056641MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Other
CONNECT URL Other

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

State licenses

LicenseStateTypeSpecialty
RN9404968FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1487314456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 E PALM RUN DR",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682712",
            "telephone_number": "954-913-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 E PALM RUN DR",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682712",
            "telephone_number": "954-913-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COISSY",
        "first_name": "ROSELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9404968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-2056641",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "address_1": "814 E Palm Run Dr",
            "city": "North Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330682712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Other",
            "affiliation": "N",
            "address_1": "814 E Palm Run Dr",
            "city": "North Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330682712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

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