Active NPI
Rebecca Lynne Rose, CPM, LM
- Lactation Consultant (Non-RN)
- New Hampton, NY
National Provider Identifier
1023248671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-316346
- Practice address
- 231 McManus Rd
New Hampton, NY 10958-3510 - Phone
- (505) 514-3532
- NPI assigned
- Jul 16, 2009
- 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 |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | 09055R | NM | |
| Lactation Consultant (Non-RN) | 174N00000X | L-316346 | Primary |
Addresses
Primary practice location
231 McManus Rd
New Hampton, NY 10958-3510
Mailing address
215 8TH St SW
Albuquerque, NM 87102-3003
Phone (505) 254-7615
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09055R | NM | MD | Lay Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1023248671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 8TH ST SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023003",
"telephone_number": "505-254-7615",
"fax_number": "505-242-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 MCMANUS RD",
"city": "NEW HAMPTON",
"state": "NY",
"postal_code": "109583510",
"telephone_number": "505-514-3532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "REBECCA",
"middle_name": "LYNNE",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-16",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "NM",
"license": "09055R",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": "L-316346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.