Active NPI
Rose M Paz, ARNP
- Family Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1013254895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0991816-NP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0991816-NP | CO | MD | Family 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.