Individual provider Active NPI

Jennifer Paz Rossi, CPNP-PC

  • Pediatric Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1871840165
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
11015767 Issued in FL
Practice address
3950 N 46TH Ave
Hollywood, FL 33021-1726
Phone
(954) 962-9022
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9579686 FL
General Practice Registered Nurse 163WG0000X 609629 NY
Pediatric Nurse Practitioner 363LP0200X 382206 NY
Pediatric Nurse Practitioner 363LP0200X 11015767 FL Primary

Addresses

Primary practice location

3950 N 46TH Ave
Hollywood, FL 33021-1726

Mailing address

361 N University Dr Apt 630
Plantation, FL 33324-2061
Phone (305) 282-7828

Other practice location 1

789 S Federal Hwy
Fort Lauderdale, FL 33316-1218
Phone (954) 315-5784

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
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9579686FLMDRegistered Nurse
609629NYMDGeneral Practice Registered Nurse
11015767FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC PastSince May 8, 2022 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson PastSince May 8, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1871840165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 N UNIVERSITY DR APT 630",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242061",
            "telephone_number": "305-282-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 N 46TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211726",
            "telephone_number": "954-962-9022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 S Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333161218",
            "country_code": "US",
            "telephone_number": "954-315-5784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "JENNIFER",
        "middle_name": "PAZ",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9579686",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "609629",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382206",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "11015767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.