Individual provider Active NPI

Laurie Dorine Ross-Berke, CNM/ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1669709903
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1019862 Issued in FL
Practice address
9970 Central Park Blvd.
Suite 206
Boca Raton, FL 33428
Phone
(561) 488-3128
Fax
(561) 482-5952
NPI assigned
Nov 6, 2009
Last updated
Nov 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1019862 FL Primary

Addresses

Primary practice location

9970 Central Park Blvd.
Suite 206
Boca Raton, FL 33428

Mailing address

10535 El Caballo CT
Delray Beach, FL 33446-2715
Phone (561) 495-8865

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
1019862FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Feinerman Anesthesia PA Past Accepting new patients
Vitalmd Group Holding LLC PastSince Jul 3, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1669709903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 EL CABALLO CT",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462715",
            "telephone_number": "561-495-8865",
            "fax_number": "561-495-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD.",
            "address_2": "SUITE 206",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33428",
            "telephone_number": "561-488-3128",
            "fax_number": "561-482-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS-BERKE",
        "first_name": "LAURIE",
        "middle_name": "DORINE",
        "name_prefix": "Ms.",
        "credential": "CNM/ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "1019862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.