Active NPI
Roodelyne Petit-Homme
- Family Nurse Practitioner
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11034871
- Practice address
- 11190 Health Park Blvd
Naples, FL 34110-5729 - Phone
- (239) 624-5000
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11034871 | FL | Primary |
Addresses
Primary practice location
11190 Health Park Blvd
Naples, FL 34110-5729
Mailing address
16401 NW 37TH Ave
Miami Gardens, FL 33054-6313
Other practice location 1
16401 NW 37th Ave
Miami Gardens, FL 33054-6313
Phone (786) 693-3805
Other practice location 2
350 7th St N
Naples, FL 34102-5754
Phone (239) 624-3997
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11034871 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nchmd Inc | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| Yadah Alf LLC | Current | Accepting new patients | |
| At Home MD | Current | Accepting new patients |
Locations
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
2338 Immokalee Rd
Naples, FL 34110
Phone (239) 330-2933
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
Interoperability endpoints
- rpetithommeandre21194@nchhealthcaresystem.direct-ci.com
Organizations & group practices 4
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.
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Geriatric Medicine (Family Medicine) Physician
- Naples, FL
- NPI 1578270096
-
- Assisted Living Facility
- Naples, FL
- NPI 1932913704
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1033904651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1780416578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16401 NW 37TH AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330546313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11190 HEALTH PARK BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341105729",
"telephone_number": "239-624-5000"
}
],
"practiceLocations": [
{
"address_1": "16401 NW 37th Ave",
"address_purpose": "LOCATION",
"city": "Miami Gardens",
"state": "FL",
"postal_code": "330546313",
"country_code": "US",
"telephone_number": "786-693-3805",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 7th St N",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341025754",
"country_code": "US",
"telephone_number": "239-624-3997",
"fax_number": "239-624-8101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETIT-HOMME",
"first_name": "ROODELYNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11034871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.