Active NPI
Rose Rachelle L Nicolas
- Social Worker
- Fort Lauderdale, FL
National Provider Identifier
1851924906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619 - Phone
- (954) 728-1115
- Fax
- (954) 779-2316
- NPI assigned
- Feb 18, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | FL | Primary |
Addresses
Primary practice location
1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619
Mailing address
1401 S Federal Hwy
Fort Lauderdale, FL 33316-2619
Phone (954) 728-1115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105597800 | Medicaid | FL |
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": "1581984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1851924906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162619",
"telephone_number": "954-728-1115",
"fax_number": "954-779-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162619",
"telephone_number": "954-728-1115",
"fax_number": "954-779-2316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAS",
"first_name": "ROSE RACHELLE",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-18",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105597800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
- Nicklaus Children'S Pediatric Specialists, LLC
- Nicklaus Children'S Pediatric Specialists, LLC
- Nicklaus Children'S Pediatric Specialists, LLC
- Nicmoy Home Care Services LLC
- Anna Jane Nicolas, PA-C
- Marylou Kneeland Nicolazzo
- Nicole Graham PHD PA
- Nicole Lilienthal, Ms, CCC-SLP, PA
- Nicolle Deleo LMHC PSYD PA
- Sasha Nicolle
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.