Active NPI
Roanna Lynn Kingman, ARNP, NP-C
- Family Nurse Practitioner
- Jupiter, FL
National Provider Identifier
1598017972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9308411
- Practice address
- 2055 Military TRL
Suite 303
Jupiter, FL 33458-7801 - Phone
- (561) 427-0860
- NPI assigned
- Oct 9, 2012
- 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 | ARNP9308411 | FL | Primary |
Addresses
Primary practice location
2055 Military TRL
Suite 303
Jupiter, FL 33458-7801
Mailing address
2055 Military TRL
Jupiter, FL 33458-7801
Phone (561) 968-9805
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 |
|---|---|---|---|
| ARNP9308411 | FL | MD | Family Nurse Practitioner |
Interoperability endpoints
- roanna.kingmanarnp.p1@direct.thespinecenter.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1598017972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 MILITARY TRL",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587801",
"telephone_number": "561-968-9805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 MILITARY TRL",
"address_2": "SUITE 303",
"city": "JUPITER",
"state": "FL",
"postal_code": "334587801",
"telephone_number": "561-427-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGMAN",
"first_name": "ROANNA",
"middle_name": "LYNN",
"credential": "ARNP, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9308411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.