Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RODAPHNE ADVANCED HEALTHCARE PROVIDER, LLC
NPI 1417870783
Nurse Practitioner in Port Saint Lucie, FL

Active since August 03, 2026
1860 SW FOUNTAINVIEW BLVD STE 100, PORT SAINT LUCIE, FL 34986(772) 207-4900(772) 404-7936 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rodaphne Advanced Healthcare Provider, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODAPHNE ADVANCED HEALTHCARE PROVIDER, LLC (NPI 1417870783) is a healthcare organization registered as a nurse practitioner in Port Saint Lucie, Florida and active in the NPI registry since August 2026. The organization lists Kettelene Philogene Mcmorris, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1417870783
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameRODAPHNE ADVANCED HEALTHCARE PROVIDER, LLC
Location Address1860 SW FOUNTAINVIEW BLVD STE 100Port Saint Lucie, FL 34986-4528
Mailing Address1860 Sw Fountainview Blvd Ste 100Port Saint Lucie, FL 34986-4528 · (772) 207-4900 · Fax (772) 404-7936
Fax(772) 404-7936
Organization SubpartNo
Authorized OfficialKettelene Philogene McmorrisOwner/nurse Practitioner · (754) 366-1406
Enumeration DateAugust 3, 2026
NPPES CertifiedJuly 15, 2026
NPI 1417870783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1860 SW FOUNTAINVIEW BLVD STE 100, Port Saint Lucie, FL 34986

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
1860 SW FOUNTAINVIEW BLVD STE 100
PORT SAINT LUCIE, FL 34986
Behavior Technician
1860 SW FOUNTAINVIEW BLVD STE 100
PORT SAINT LUCIE, FL 34986
Behavior Technician
1860 SW FOUNTAINVIEW BLVD STE 100
PORT SAINT LUCIE, FL 34986
Social Worker (Clinical)
1860 SW FOUNTAINVIEW BLVD STE 100
PORT SAINT LUCIE, FL 34986
Behavior Analyst
1860 SW FOUNTAINVIEW BLVD STE 100, OFFICE 12
PORT SAINT LUCIE, FL 34986
Psychologist
1860 SW FOUNTAINVIEW BLVD STE 100
PORT ST LUCIE, FL 34986
Counselor (Mental Health)
1860 SW FOUNTAINVIEW BLVD STE 100
PORT ST LUCIE, FL 34986
Nurse Practitioner (Family)
1860 SW FOUNTAINVIEW BLVD STE 100
PORT SAINT LUCIE, FL 34986

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodaphne Advanced Healthcare Provider, LLC's NPI number?

The NPI number for Rodaphne Advanced Healthcare Provider, LLC is 1417870783. It was assigned to this organization in the NPPES registry on August 3, 2026.

Where is Rodaphne Advanced Healthcare Provider, LLC located?

Rodaphne Advanced Healthcare Provider, LLC is located at 1860 SW Fountainview Blvd Ste 100, Port Saint Lucie, FL 34986. The listed phone number is (772) 207-4900.

What is Rodaphne Advanced Healthcare Provider, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Rodaphne Advanced Healthcare Provider, LLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.