Individual provider Active NPI

Liceia Sales Rocha

  • Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1851217731
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F06261191 Issued in FL
Practice address
2611 NE 11TH CT
Fort Lauderdale, FL 33304-4505
Phone
(954) 297-8103
NPI assigned
Jun 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F06261191 FL Primary

Addresses

Primary practice location

2611 NE 11TH CT
Fort Lauderdale, FL 33304-4505

Mailing address

2611 NE 11TH CT
Fort Lauderdale, FL 33304-4505
Phone (954) 297-8103

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

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1851217731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 NE 11TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044505",
            "telephone_number": "954-297-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 NE 11TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333044505",
            "telephone_number": "954-297-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALES ROCHA",
        "first_name": "LICEIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F06261191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.