Individual provider Active NPI

Rose Brault, ARNP

  • Adult Health Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1952423063
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP 916122 Issued in FL
Practice address
6801 US Highway 27 N
Suite B-4
Sebring, FL 33870-7840
Phone
(863) 314-8440
Fax
(863) 314-0845
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 916122 FL Primary

Addresses

Primary practice location

6801 US Highway 27 N
Suite B-4
Sebring, FL 33870-7840

Mailing address

2120 N Shamrock Rd
Avon Park, FL 33825-9428
Phone (863) 257-0775

Other names 1

  • Prof. Rose Brault Professional name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 916122FLMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952423063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N SHAMROCK RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259428",
            "telephone_number": "863-257-0775",
            "fax_number": "863-452-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 US HIGHWAY 27 N",
            "address_2": "SUITE B-4",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707840",
            "telephone_number": "863-314-8440",
            "fax_number": "863-314-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAULT",
        "first_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 916122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "BRAULT",
            "prefix": "PROF.",
            "credential": "EDD, NP-C, CNS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.