Individual provider Active NPI

Kelli T Vila-Rosa, REGISTERED NURSE

  • Infusion Therapy Registered Nurse
  • Bessemer, AL
National Provider Identifier
1033633623
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
1-147465 Issued in AL
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1-147465OtherALPROFESSIONAL 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

LicenseStateTypeSpecialty
1-147465ALMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Infuse First Health Care, PC PastSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.