MRS. LISA SUZETTE ROSE DNP MSN ARNP MBA
NPI 1649079104
Nurse Practitioner - Family in Pembroke Pines, FL

Q: What is Lisa Rose's NPI number?

The NPI number for Lisa Rose is 1649079104. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Q: What is Lisa Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Rose was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since March 10, 2025

20380 SW 5TH ST, PEMBROKE PINES, FL 33029(305) 915-1217 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Lisa Suzette Rose Dnp Msn Arnp Mba NPPES

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

MRS. LISA SUZETTE ROSE DNP MSN ARNP MBA (NPI 1649079104) is an individual family provider in Pembroke Pines, Florida, licensed in Florida (11037928) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1649079104

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA SUZETTE ROSECredential: DNP MSN ARNP MBA

Location Address20380 SW 5TH STPembroke Pines, FL 33029-5028

Mailing Address20380 Sw 5th StPembroke Pines, FL 33029-5028 · (305) 915-1217

Phone(305) 915-1217

Sole ProprietorYes

Enumeration DateMarch 10, 2025

NPPES CertifiedMarch 9, 2025

✔ NPI 1649079104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11037928

20380 SW 5TH ST, Pembroke Pines, FL 33029

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lisa Rose's NPI number?

The NPI number for Lisa Rose is 1649079104. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Lisa Rose located?

Lisa Rose practices at 20380 SW 5th St, Pembroke Pines, FL 33029. The listed phone number is (305) 915-1217.

What is Lisa Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Rose was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.