Individual provider Active NPI

Rose Fabienne James

  • Pediatrics Physician
  • Tampa, FL
National Provider Identifier
1790128791
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME139342 Issued in FL
Practice address
5611 Sheldon Rd FL 3532
Tampa, FL 33615-3532
Phone
(813) 397-5300
NPI assigned
Apr 10, 2013
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME139342 FL Primary

Addresses

Primary practice location

5611 Sheldon Rd FL 3532
Tampa, FL 33615-3532

Mailing address

3910 Northdale Blvd Ste 204
Tampa, FL 33624-1800
Phone (813) 570-6971

Other names 1

  • Rose Fabienne Dupont Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240817000511 FL Practitioner - Pediatric Medicine 7416197983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME139342FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers Inc Current Accepting new patients
Tampa Family Health Centers Inc CurrentSince Jun 9, 2024 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Jun 9, 2024 Accepting new patients
Florida Pediatric Associates LLC Pediatrics PastSince Apr 1, 2023 Accepting new patients

Locations

1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 284-4554

19203 N Dale Mabry Hwy
Lutz, FL 33548

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

12410 N Nebraska Ave
Tampa, FL 33612

2727 W Mlk Blvd
Ste 100
Tampa, FL 33607
Phone (813) 357-5900

2727 W Mlk Blvd
Ste 630
Tampa, FL 33607
Phone (813) 876-6000

2808 W Mlk Blvd
Tampa, FL 33607
Phone (813) 872-9200

302 W Fletcher Ave
Tampa, FL 33612

4422 E Columbus Dr
Tampa, FL 33605
Phone (813) 384-4000

4620 N 22nd St
Tampa, FL 33610
Phone (813) 272-6240

5611 Sheldon Rd
Tampa, FL 33615
Phone (813) 397-5320

5611 Sheldon Rd
Fl 3532
Tampa, FL 33615

6216 E Sligh Ave
Tampa, FL 33617
Phone (813) 549-8060

7608 Causeway Blvd
Tampa, FL 33619
Phone (813) 405-3710

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 284-4554

8108 N Nebraska Ave
Tampa, FL 33604
Phone (813) 712-1930

8213 W Waters Ave
Tampa, FL 33615
Phone (813) 490-5420

Interoperability endpoints

  • Direct secure messaging: rosejames@direct.uabmedicine.org

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, 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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1790128791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 NORTHDALE BLVD STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241800",
            "telephone_number": "813-570-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 SHELDON RD FL 3532",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153532",
            "telephone_number": "813-397-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ROSE",
        "middle_name": "FABIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME139342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "DUPONT",
            "middle_name": "FABIENNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.