Active NPI
Roseline Raphael, DNP,FNP-BC, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 9275102
- Practice address
- 9900 W Sample Rd Ste 300
Coral Springs, FL 33065-4077 - Phone
- (954) 866-0810
- Fax
- (877) 552-0946
- NPI assigned
- Jul 18, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9275102 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9275102 | FL | Primary |
Addresses
Primary practice location
9900 W Sample Rd Ste 300
Coral Springs, FL 33065-4077
Mailing address
8801 W Atlantic Blvd # 773714
Coral Springs, FL 33071-7462
Phone (954) 866-0810
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5841 Corporate Way
Suite 200
West Palm Beach, FL 33407-2039
Phone (561) 684-1991
9900 W Sample Rd
Suite 203 51
Coral Springs, FL 33065-4048
Phone 95486608102001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9275102 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Replenish | Current | Accepting new patients | |
| Ferd and Gladys Alpert Jewish Family & Childrens SVC of PLM BCH | Current | Accepting new patients | |
| Alpert Jewish Family & Children Services, Inc | Past | Accepting new patients |
Locations
9085 Hagen Ranch Rd
Boynton Beach, FL 33472
Phone (561) 684-1991
9900 W Sample Rd
Ste 300
Coral Springs, FL 33065
Phone (561) 765-5179
5841 Corporate Way
Ste 200
West Palm Beach, FL 33407
Phone (561) 684-1991
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.
-
- Clinical Social Worker
- West Palm Beach, FL
- NPI 1841297926
-
- Psychiatric/Mental Health Nurse Practitioner
- Coral Springs, FL
- NPI 1467129304
-
- Clinic/Center
- Coral Springs, FL
- NPI 1124958624
-
- Clinical Social Worker
- West Palm Beach, FL
- NPI 1588974950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1801249552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8801 W ATLANTIC BLVD # 773714",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330717462",
"telephone_number": "954-866-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 W SAMPLE RD STE 300",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654077",
"telephone_number": "954-866-0810",
"fax_number": "877-552-0946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPHAEL",
"first_name": "ROSELINE",
"credential": "DNP,FNP-BC, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9275102",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "9275102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, 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.