Active NPI
Marcia Gail Fisher Rose
- Administrator Registered Nurse
- Lake Wales, FL
National Provider Identifier
1730099524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- RN9363754
- Practice address
- 401 4TH St N
Lake Wales, FL 33853-3855 - Phone
- (863) 232-4665
- NPI assigned
- Sep 11, 2026
- Last updated
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9363754 | FL | |
| School Registered Nurse | 163WS0200X | RN9363754 | FL | |
| Administrator Registered Nurse | 163WA2000X | RN9363754 | FL | Primary |
Addresses
Primary practice location
401 4TH St N
Lake Wales, FL 33853-3855
Mailing address
1 Highlander Way
Lake Wales, FL 33853-3334
Other practice location 1
1051 State Road 60 E
Lake Wales, FL 33853-4258
Phone (863) 678-4216
Other practice location 2
306 Florida Ave
Lake Wales, FL 33853-3121
Phone (863) 678-4211
Other practice location 3
110 E Polk Ave
Lake Wales, FL 33853-6104
Phone (863) 678-4244
Other practice location 4
13901 US Highway 27
Lake Wales, FL 33859-2570
Phone (863) 638-1010
Other practice location 5
1 Highlander Way
Lake Wales, FL 33853-3334
Phone (863) 678-4222
Other practice location 6
815 N Scenic Hwy
Babson Park, FL 33827-9795
Phone (863) 678-4664
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1730099524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HIGHLANDER WAY",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338533334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 4TH ST N",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338533855",
"telephone_number": "863-232-4665"
}
],
"practiceLocations": [
{
"address_1": "1051 State Road 60 E",
"address_purpose": "LOCATION",
"city": "Lake Wales",
"state": "FL",
"postal_code": "338534258",
"country_code": "US",
"telephone_number": "863-678-4216",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "306 Florida Ave",
"address_purpose": "LOCATION",
"city": "Lake Wales",
"state": "FL",
"postal_code": "338533121",
"country_code": "US",
"telephone_number": "863-678-4211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 E Polk Ave",
"address_purpose": "LOCATION",
"city": "Lake Wales",
"state": "FL",
"postal_code": "338536104",
"country_code": "US",
"telephone_number": "863-678-4244",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13901 US Highway 27",
"address_purpose": "LOCATION",
"city": "Lake Wales",
"state": "FL",
"postal_code": "338592570",
"country_code": "US",
"telephone_number": "863-638-1010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Highlander Way",
"address_purpose": "LOCATION",
"city": "Lake Wales",
"state": "FL",
"postal_code": "338533334",
"country_code": "US",
"telephone_number": "863-678-4222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 N Scenic Hwy",
"address_purpose": "LOCATION",
"city": "Babson Park",
"state": "FL",
"postal_code": "338279795",
"country_code": "US",
"telephone_number": "863-678-4664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER ROSE",
"first_name": "MARCIA",
"middle_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9363754",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "FL",
"license": "RN9363754",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "FL",
"license": "RN9363754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wales, FL
- Natasha L Fenelon, APRN
- Rodolfo S Fernandez, MD
- Kaylee Fichthorn, PT, DPT
- Evelina Figueroa Nater, APRN
- Berneta Finney
- Alisa Joy Flores
- Florida Cancer Specialists & Research Institute, LLC
- Florida ENT Associates, Inc. (South Florida ENT Associates, Inc.)
- Florida Hospital Physician Group Inc
- Florida Hospital Physician Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.