Active NPI
Lilivette Rolland, M.D.
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1831205103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME59316
- Practice address
- 4602 N Armenia Ave
Suite a 3
Tampa, FL 33603-2626 - Phone
- (813) 873-1725
- Fax
- (813) 873-2924
- NPI assigned
- Aug 21, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME59316 | FL | Primary |
Addresses
Primary practice location
4602 N Armenia Ave
Suite a 3
Tampa, FL 33603-2626
Mailing address
4602 N Armenia Ave
Suite A3
Tampa, FL 33603-2626
Phone (813) 873-1725
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IH-2280188 | Other | FL | FIRST CARE |
| 271691700 | Medicaid | FL | |
| 3939565 | Other | FL | CIGNA |
| 432062869 | Other | FL | EVOLUTIONS HEALTHCARE |
| 432062869 | Other | FL | HUMANA |
| 432062869 | Other | FL | TRICARE |
| 432062869 | Other | FL | SOUTH CARE PPO |
| 12802 | Other | FL | BLUE CROSS/BLUE SHIELD |
| 285461 | Other | FL | WELLCARE/STAYWELL/HEALTHE |
| CCN-55 | Other | FL | CCN |
| 432062869 | Other | FL | BAYCARE |
| 432062869 | Other | FL | PRIVATE HEALTH CARE |
| 432062869 | Other | FL | UNITED HEALTH CARE |
| 278713 | Other | FL | AMERIGROUP |
| 3966308 | Other | FL | AETNA |
| 432062869 | Other | FL | BEECH STREET CORP |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME59316 | FL | MD | Pediatrics Physician |
Interoperability endpoints
- lilivette.rolland.p1@direct.mbmg.nextgenshare.com
- lilivette.rolland.1@29601.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1831205103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 N ARMENIA AVE",
"address_2": "SUITE A3",
"city": "TAMPA",
"state": "FL",
"postal_code": "336032626",
"telephone_number": "813-873-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4602 N ARMENIA AVE",
"address_2": "SUITE A 3",
"city": "TAMPA",
"state": "FL",
"postal_code": "336032626",
"telephone_number": "813-873-1725",
"fax_number": "813-873-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLAND",
"first_name": "LILIVETTE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME59316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE",
"identifier": "IH-2280188",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271691700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3939565",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVOLUTIONS HEALTHCARE",
"identifier": "432062869",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "432062869",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "432062869",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CARE PPO",
"identifier": "432062869",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "12802",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE/STAYWELL/HEALTHE",
"identifier": "285461",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "CCN-55",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BAYCARE",
"identifier": "432062869",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTH CARE",
"identifier": "432062869",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "432062869",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "278713",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3966308",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET CORP",
"identifier": "432062869",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.