Active NPI
Rosalie a Jefferson, P.a.
- Adult Health Nurse Practitioner
- Winter Garden, FL
National Provider Identifier
1902094394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 80332-2
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosalie Jefferson, ARNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Winter Garden, FL
- NPI 1306946694
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.