Individual provider Active NPI

Rosalynn Trabanco, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1811352479
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9315057 Issued in FL
Practice address
8314 Mills Dr
Miami, FL 33183
Phone
(786) 398-4420
NPI assigned
Dec 28, 2015
Last updated
May 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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 9315057 FL Primary

Addresses

Primary practice location

8314 Mills Dr
Miami, FL 33183

Mailing address

8314 Mills Dr
Miami, FL 33183-4806
Phone (786) 398-4420

Other practice location 1

11133 SW 36th St
Miami, FL 33165-3556
Phone (786) 368-4284

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

State licenses

LicenseStateTypeSpecialty
9315057FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Image of Florida, LLC Past Accepting new patients

Organizations & group practices 1

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": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1811352479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8314 MILLS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834806",
            "telephone_number": "786-398-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8314 MILLS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33183",
            "telephone_number": "786-398-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11133 SW 36th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331653556",
            "country_code": "US",
            "telephone_number": "786-368-4284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRABANCO",
        "first_name": "ROSALYNN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9315057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.