Individual provider Active NPI

Gabriela Yusara Barboza Rosa

  • Family Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1639755663
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11041551 Issued in FL
Practice address
621 Siesta Key Cir Apt 3222
Deerfield Beach, FL 33441-7728
Phone
(561) 317-1696
NPI assigned
Mar 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Family Nurse Practitioner 363LF0000X 11041551 FL Primary

Addresses

Primary practice location

621 Siesta Key Cir Apt 3222
Deerfield Beach, FL 33441-7728

Mailing address

621 Siesta Key Cir Apt 3222
Deerfield Beach, FL 33441-7728
Phone (561) 317-1696

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
11041551FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1639755663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SIESTA KEY CIR APT 3222",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334417728",
            "telephone_number": "561-317-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SIESTA KEY CIR APT 3222",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334417728",
            "telephone_number": "561-317-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOZA ROSA",
        "first_name": "GABRIELA",
        "middle_name": "YUSARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-21",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11041551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.