Individual provider Active NPI

Crystal Latrice Rocker

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1679002042
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9320459 Issued in FL
Practice address
106 W Windhorst Rd
Brandon, FL 33510
Phone
(813) 373-9531
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9320459 FL Primary

Addresses

Primary practice location

106 W Windhorst Rd
Brandon, FL 33510

Mailing address

5707 N 22ND St
Tampa, FL 33610-4350
Phone (813) 239-8533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180607000478 FL Practitioner - Nurse Practitioner 3779848098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4425 W 1St St
Sanford, FL 32771-9082
Phone (407) 915-0164

4451 W 1St St
Sanford, FL 32771-9082
Phone (407) 200-2300

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9320459FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc. Family CurrentSince Mar 26, 2024 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Aug 16, 2022 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Aug 16, 2022 Accepting new patients
Adventist Health System/Sunbelt, Inc Family CurrentSince Mar 26, 2024 Accepting new patients
Adventist Health System Sunbelt Inc Family Current Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

Interoperability endpoints

  • Direct secure messaging: crocker2973847@adventhealth.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1679002042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 N 22ND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104350",
            "telephone_number": "813-239-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W WINDHORST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "33510",
            "telephone_number": "813-373-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKER",
        "first_name": "CRYSTAL",
        "middle_name": "LATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9320459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.