Organization Active NPI

Rosalie a Jefferson, P.a.

  • Adult Health Nurse Practitioner
  • Winter Garden, FL
National Provider Identifier
1902094394
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
80332-2 Issued in FL
Legal business name
ROSALIE A JEFFERSON, P.A.
Practice address
718 Grisham St
Winter Garden, FL 34787-2656
Phone
(407) 625-6135
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Rosalie Jefferson, ARNPNPI 1306946694
Title
Presidient
Phone
(407) 625-0135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 80332-2 FL Primary

Addresses

Primary practice location

718 Grisham St
Winter Garden, FL 34787-2656

Mailing address

718 Grisham St
Winter Garden, FL 34787-2656
Phone (407) 625-6135

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1902094394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 GRISHAM ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872656",
            "telephone_number": "407-625-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 GRISHAM ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347872656",
            "telephone_number": "407-625-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALIE A JEFFERSON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_title_or_position": "PRESIDIENT",
        "authorized_official_telephone_number": "407-625-0135",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "80332-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.