Individual provider Active NPI

Rukiya Roseboro, APRN

  • Gerontology Nurse Practitioner
  • Zephyrhills, FL
National Provider Identifier
1497177208
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN9192057 Issued in FL
Practice address
5935 7TH St
Zephyrhills, FL 33542-3501
Phone
(813) 782-7778
Fax
(813) 782-2361
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN9192057 FL Primary

Addresses

Primary practice location

5935 7TH St
Zephyrhills, FL 33542-3501

Mailing address

5935 7TH St
Zephyrhills, FL 33542-3501
Phone (813) 782-7778

Other identifiers 1

IdentifierTypeStateIssuer
010918600MedicaidFL

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
I20140618001223 FL Practitioner - Nurse Practitioner 6305060112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1345 W Bay Dr
202 Optum Largo
Largo, FL 33770-2276
Phone (727) 559-0895

14701 N Florida Ave
Optum University
Tampa, FL 33613-1823
Phone (813) 265-2066

5935 7TH St
Zephyrhills, FL 33542-3501
Phone (813) 782-7778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC CurrentSince Sep 16, 2019 Accepting new patients
Rmed LLC CurrentSince Jul 1, 2019 Accepting new patients
Rmed LLC CurrentSince Jul 1, 2019 Accepting new patients
Optumcare Florida, LLC CurrentSince Sep 16, 2019 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

5935 7th St
Zephyrhills, FL 33542
Phone (813) 782-7778

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rukiya.roseboro@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1497177208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 7TH ST",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335423501",
            "telephone_number": "813-782-7778",
            "fax_number": "813-782-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 7TH ST",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335423501",
            "telephone_number": "813-782-7778",
            "fax_number": "813-782-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBORO",
        "first_name": "RUKIYA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9192057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010918600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.