Individual provider Active NPI

Naylam Rosellon, FNP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1598133019
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9310354 Issued in FL
Practice address
1400 SW 27TH Ave Ste 102
Miami, FL 33145-1239
Phone
(305) 333-0575
Fax
(305) 503-7500
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9310354 FL
Nurse Practitioner 363L00000X ARNP9310354 FL Primary

Addresses

Primary practice location

1400 SW 27TH Ave Ste 102
Miami, FL 33145-1239

Mailing address

1400 SW 27TH Ave Ste 102
Miami, FL 33145-1239
Phone (305) 333-0575

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

State licenses

LicenseStateTypeSpecialty
9310354FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boris Home Health Care Inc CurrentSince Nov 16, 2021 Accepting new patients
Hayacare Services Inc CurrentSince Jun 25, 2023 Accepting new patients

Locations

5200 SW 8th St
Ste 201B
Coral Gables, FL 33134
Phone (786) 285-5804

1400 SW 27th Ave
Ste 102
Miami, FL 33145
Phone (305) 209-8847

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1598133019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SW 27TH AVE STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451239",
            "telephone_number": "305-333-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SW 27TH AVE STE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331451239",
            "telephone_number": "305-333-0575",
            "fax_number": "305-503-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLON",
        "first_name": "NAYLAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9310354",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9310354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.