1. Home
  2. Directory
  3. Florida
  4. Ponte Vedra Beach
  5. Family Medicine
  6. NPI Profile

ROSEBERRY INTEGRATIVE CARE
NPI 1992523344
Family Medicine in Ponte Vedra Beach, FL

Active since October 02, 2024CLIA 10D2318749 · Waiver
4210 VALLEY RIDGE BLVD STE 140, PONTE VEDRA BEACH, FL 32081(901) 800-5701(904) 839-0310 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roseberry Integrative Care NPPES

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

ROSEBERRY INTEGRATIVE CARE (NPI 1992523344) is a healthcare organization registered as a family medicine in Ponte Vedra Beach, Florida and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through February 17, 2027 and lists Beverly J Roseberry, Owner, as its authorized official.

NPPES Registry Identity

NPI1992523344
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROSEBERRY INTEGRATIVE CARE
Location Address4210 VALLEY RIDGE BLVD STE 140Ponte Vedra Beach, FL 32081-5184
Mailing Address4210 Valley Ridge Blvd Ste 140Ponte Vedra Beach, FL 32081-5184 · (901) 800-5701 · Fax (904) 839-0310
Phone(901) 800-5701
Fax(904) 839-0310
Organization SubpartNo
Authorized OfficialBeverly J RoseberryOwner · (802) 345-6261
Enumeration DateOctober 2, 2024
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1992523344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4210 VALLEY RIDGE BLVD STE 140, Ponte Vedra Beach, FL 32081
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2318749

Roseberry Integrative Care LLC · Ponte Vedra, FL
Active · expires Feb 17, 2027
CLIA Number10D2318749
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorBeverly J. Roseberry
Laboratory Phone(904) 800-5701
Laboratory LocationRoseberry Integrative Care LLC4210 Valley Ridge Blvd Ste 140, Ponte Vedra, FL 32081
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Roseberry Integrative Care's NPI number?

The NPI number for Roseberry Integrative Care is 1992523344. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Roseberry Integrative Care located?

Roseberry Integrative Care is located at 4210 Valley Ridge Blvd Ste 140, Ponte Vedra Beach, FL 32081. The listed phone number is (901) 800-5701.

What is Roseberry Integrative Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Roseberry Integrative Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2318749) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roseberry Integrative Care was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.