Alexa Rose

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

306197 Issued in NY

Practice address

9 Wichard Dr
Oakdale, NY 11769-1513

Phone

(631) 873-7389

NPI assigned

Jan 4, 2020

Last updated

Jan 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578096000000",
    "number": "1033758289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WICHARD DR",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WICHARD DR",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691513",
            "telephone_number": "631-873-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-04",
        "last_updated": "2020-01-04",
        "certification_date": "2020-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NY",
            "license": "306197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erynn H Rocovich
• Shelby Rodgers, LCSW
• Mark R Rodman, ATC
• Juana Rodriguez, COTA/L
• Frankielynn Rooney, LMHC
• Bonnie Lynn Rubell
• Sharon Ruckdeschel
• Elizabeth Ruggiero
• Russo Chiropractic,P.C.
• Amanda Salazar, PSY.D.

• Licensed Vocational Nurse in Oakdale, NY
• Providers in Oakdale, NY by specialty
• Licensed Vocational Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.

Verify at the official NPI Registry.