Individual provider Active NPI

Rosa Woodruff, FNP-BC

  • Family Nurse Practitioner
  • Auburndale, FL
National Provider Identifier
1801372628
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704292432 Issued in MI
Practice address
1805 Hobbs Rd
Auburndale, FL 33823-4644
Phone
(863) 965-5400
Fax
(863) 965-3739
NPI assigned
Jul 15, 2018
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704292432 MI Primary

Addresses

Primary practice location

1805 Hobbs Rd
Auburndale, FL 33823-4644

Mailing address

PO Box 850
White Cloud, MI 49349-0850

Other practice location 1

1290 Golfview Ave
Bartow, FL 33830-6703
Phone (638) 519-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1290 Golfview Ave
Suite 4
Bartow, FL 33830-6703

2200 Ringling Blvd
Sarasota, FL 34237-6199

4052 Bald Cypress Way
Tallahassee, FL 32399-7017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704292432MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Community Mental Health PastSince Aug 1, 2019 Accepting new patients
Florida Department of Health PastSince Nov 10, 2024 Accepting new patients
District Health Department No 10 PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 3

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": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1801372628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493490850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 HOBBS RD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338234644",
            "telephone_number": "863-965-5400",
            "fax_number": "863-965-3739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 Golfview Ave",
            "address_purpose": "LOCATION",
            "city": "Bartow",
            "state": "FL",
            "postal_code": "338306703",
            "country_code": "US",
            "telephone_number": "638-519-7900",
            "fax_number": "638-519-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "ROSA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-15",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704292432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburndale, FL

Sources for this page

Verify at the official NPI Registry.