Individual provider Active NPI

Alice Rodriguez Brockwell, ARNP-BC

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1891091716
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 2009752 Issued in FL
Practice address
620 SE 7TH St
Fort Lauderdale, FL 33301-3117
Phone
(954) 290-4344
NPI assigned
Feb 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 2009752 FL Primary

Addresses

Primary practice location

620 SE 7TH St
Fort Lauderdale, FL 33301-3117

Mailing address

620 SE 7TH St
Fort Lauderdale, FL 33301-3117
Phone (954) 290-4344

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

State licenses

LicenseStateTypeSpecialty
ARNP 2009752FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1891091716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SE 7TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013117",
            "telephone_number": "954-290-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SE 7TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013117",
            "telephone_number": "954-290-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKWELL",
        "first_name": "ALICE",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Ms.",
        "credential": "ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 2009752",
            "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 Mar 10, 2011; 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.