Elaine Renee Rose, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

12345 Heather St NW
Coon Rapids, MN 55433-1754

Phone

(612) 963-1301

NPI assigned

Nov 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1003183229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 HEATHER ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331754",
            "telephone_number": "612-963-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 HEATHER ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331754",
            "telephone_number": "612-963-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ELAINE",
        "middle_name": "RENEE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Darlene Rollins
• Spring Lorraine Romer, PHARM D
• Angela Ronay, M.S.W, LICSW
• Adamary Rosas
• Alyssa Rose
• Johanna Gaia Rose, LMFT
• John N Roseberg, MD
• Jarett Edward Roseberry, PHD., LP
• Alyssa Marie Rosen, RD
• Andrew Lee Ross, PHARM. D.

• Lactation Consultant (Non-RN) in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Lactation Consultant (Non-RN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.