Active NPI
Rose Hamideh Javaheri
- Adult Health Nurse Practitioner
- Orlando, FL
National Provider Identifier
1841947488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11018455
- Practice address
- 110 W Underwood St
Orlando, FL 32806-1139 - Phone
- (407) 422-3790
- Fax
- (407) 425-4358
- NPI assigned
- Mar 3, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11018455 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | 11018455 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11018455 | FL | Primary |
Addresses
Primary practice location
110 W Underwood St
Orlando, FL 32806-1139
Mailing address
110 W Underwood St
Orlando, FL 32806-1139
Phone (407) 422-3790
Other practice location 1
8755 The Esplanade Apt 116
Orlando, FL 32836-7726
Phone (407) 620-1016
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11018455 | FL | MD | Adult Health Nurse Practitioner |
| 11018455 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1841947488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W UNDERWOOD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061139",
"telephone_number": "407-422-3790",
"fax_number": "407-425-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W UNDERWOOD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061139",
"telephone_number": "407-422-3790",
"fax_number": "407-425-4358"
}
],
"practiceLocations": [
{
"address_1": "8755 The Esplanade Apt 116",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328367726",
"country_code": "US",
"telephone_number": "407-620-1016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAVAHERI",
"first_name": "ROSE",
"middle_name": "HAMIDEH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11018455",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "11018455",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11018455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.