Roseberry Integrative Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROSEBERRY INTEGRATIVE CARE

Practice address

4210 Valley Ridge Blvd Ste 140
Ponte Vedra Beach, FL 32081-5184

Phone

(901) 800-5701

Fax

(904) 839-0310

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Beverly J Roseberry, MDNPI 1780857698

Title

Owner

Phone

(802) 345-6261

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Beverly J Roseberry, MD

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1780857698
  NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1992523344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 VALLEY RIDGE BLVD STE 140",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320815184",
            "telephone_number": "901-800-5701",
            "fax_number": "904-839-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 VALLEY RIDGE BLVD STE 140",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320815184",
            "telephone_number": "901-800-5701",
            "fax_number": "904-839-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBERRY INTEGRATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "ROSEBERRY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-345-6261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Romero, DC
• Thomas Alfred Romero, DC
• Hadassah Rooney, PMHNP. BC
• Roots Yoga and Nutrition LLC
• Anita J Rosati
• Melissa Kuhn Roth, OTR/L
• Gondee Rowland, LMT
• Royal Home Companion
• Mallory Rubenstein
• Claude Cayce Rumsey III, M.D.

• Family Medicine Physician in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.