Active NPI
Kelli T Vila-Rosa, REGISTERED NURSE
- Infusion Therapy Registered Nurse
- Bessemer, AL
National Provider Identifier
1033633623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- 1-147465
- Practice address
- 512 Flint Parc Cir
Bessemer, AL 35022-6157 - Phone
- (855) 635-6508
- Fax
- (205) 428-8480
- NPI assigned
- Jul 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 1-147465 | AL | |
| Infusion Therapy Registered Nurse | 163WI0500X | 1-147465 | AL | Primary |
Addresses
Primary practice location
512 Flint Parc Cir
Bessemer, AL 35022-6157
Mailing address
512 Flint Parc Circle
Bessemer, AL 35022-6157
Phone (855) 635-6508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-147465 | Other | AL | PROFESSIONAL REGISTERED NURSE |
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 |
|---|---|---|---|
| 1-147465 | AL | MD | Infusion Therapy Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infuse First Health Care, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Infusion Agency
- Bessemer, AL
- NPI 1104338482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1033633623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 FLINT PARC CIRCLE",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350226157",
"telephone_number": "855-635-6508",
"fax_number": "205-572-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 FLINT PARC CIR",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350226157",
"telephone_number": "855-635-6508",
"fax_number": "205-428-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILA-ROSA",
"first_name": "KELLI",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "AL",
"license": "1-147465",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "AL",
"license": "1-147465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL REGISTERED NURSE",
"identifier": "1-147465",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.