Individual provider Active NPI

Rosa Maribel Florer, LPN

  • Licensed Practical Nurse
  • Ponca City, OK
National Provider Identifier
1831765924
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
201696 Issued in OK
Practice address
13 Hillcrest Dr
Ponca City, OK 74604-4808
Phone
(580) 761-5197
NPI assigned
May 31, 2021
Last updated
May 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 201696 OK Primary

Addresses

Primary practice location

13 Hillcrest Dr
Ponca City, OK 74604-4808

Mailing address

2504 Copperfield Ave
Ponca City, OK 74604-2442
Phone (479) 549-5238

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
201696OKMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1831765924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 COPPERFIELD AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746042442",
            "telephone_number": "479-549-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HILLCREST DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746044808",
            "telephone_number": "580-761-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORER",
        "first_name": "ROSA",
        "middle_name": "MARIBEL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "201696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.