Individual provider Active NPI

Lashanta A Rolle, RN

  • Registered Nurse
  • Fort Lauderdale, FL
National Provider Identifier
1659038586
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9435273 Issued in FL
Practice address
4952 Windward Way
Fort Lauderdale, FL 33312-5245
Phone
(954) 380-1852
NPI assigned
Nov 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 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 9435273 FL Primary

Addresses

Primary practice location

4952 Windward Way
Fort Lauderdale, FL 33312-5245

Mailing address

4952 Windward Way
Fort Lauderdale, FL 33312-5245
Phone (954) 380-1852

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9435273FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Wellness Nurse Concierge Lab Services L.L.C. CurrentSince Jan 17, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lashanta.rolle.1@14883.direct.athenahealth.com

Organizations & group practices 1

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": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1659038586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4952 WINDWARD WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125245",
            "telephone_number": "954-380-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4952 WINDWARD WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125245",
            "telephone_number": "954-380-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLE",
        "first_name": "LASHANTA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9435273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.