Individual provider Active NPI

Marcia Gail Fisher Rose

  • Administrator Registered Nurse
  • Lake Wales, FL
National Provider Identifier
1730099524
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN9363754 Issued in FL
Practice address
401 4TH St N
Lake Wales, FL 33853-3855
Phone
(863) 232-4665
NPI assigned
Sep 11, 2026
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

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.

Verify at the official NPI Registry.