Individual provider Active NPI

Rose M Paz, ARNP

  • Family Nurse Practitioner
  • Minnetonka, MN
National Provider Identifier
1013254895
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991816-NP Issued in CO
Practice address
9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343
Phone
(855) 247-8847
NPI assigned
Jan 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9279078 FL
Family Nurse Practitioner 363LF0000X APN.0991816-NP CO Primary

Addresses

Primary practice location

9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343

Mailing address

9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343

Other practice location 1

810 W Mowry Dr
Homestead, FL 33030-5746
Phone (305) 248-4334

Other practice location 2

3241 Fulton St
Denver, CO 80238-2943
Phone (303) 868-2955

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL UHC Direct
SOAP URL UHG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.0991816-NPCOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1358035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1013254895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BREN ROAD EAST",
            "address_2": "MAIL ROUTE MN 008-B213",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN ROAD EAST",
            "address_2": "MAIL ROUTE MN 008-B213",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "55343",
            "telephone_number": "855-247-8847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 W Mowry Dr",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330305746",
            "country_code": "US",
            "telephone_number": "305-248-4334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3241 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802382943",
            "country_code": "US",
            "telephone_number": "303-868-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAZ",
        "first_name": "ROSE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-13",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9279078",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991816-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "UHC",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9900 Bren Rd E",
            "city": "Minnetonka",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553439664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "UHG",
            "affiliation": "N",
            "address_1": "9900 Bren Road East",
            "address_2": "Mail Route MN 008-B213",
            "city": "Minnetonka",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.