Active NPI
Emma Amanda Rose, PA-C
- Physician Assistant
- Madison, WI
National Provider Identifier
1013345644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3237-23
- Practice address
- 521 Bowman Ave.
Madison, WI 53716 - Phone
- (608) 886-0623
- Fax
- (608) 825-3794
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3237-23 | WI | Primary |
Addresses
Primary practice location
521 Bowman Ave.
Madison, WI 53716
Mailing address
521 Bowman Ave.
Madison, WI 53716
Phone (608) 886-0623
Other names 1
- Maren Amanda Piefer
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 |
|---|---|---|---|
| 3237-23 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1013345644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 BOWMAN AVE.",
"city": "MADISON",
"state": "WI",
"postal_code": "53716",
"telephone_number": "608-886-0623",
"fax_number": "608-825-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 BOWMAN AVE.",
"city": "MADISON",
"state": "WI",
"postal_code": "53716",
"telephone_number": "608-886-0623",
"fax_number": "608-825-3794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "EMMA",
"middle_name": "AMANDA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3237-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAREN",
"last_name": "PIEFER",
"middle_name": "AMANDA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.