Rosa L Barrington-Shulenberger, DNP, ANP, FNP
Individual provider Active NPI Family Nurse Practitioner · Glide, OR
NPI 1053342279 · NPPES record last updated May 3, 2018
Key facts
- NPI
- 1053342279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 200450006NP (OR)
- Practice address
- Umpqua Community Health Center, Glide Clinic
20170 N Umpqua Hwy
Glide, OR 97443 - Phone
- (541) 496-3504
- Fax
- (541) 496-3489
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089003375N3 | OR | MD | Adult Health Nurse Practitioner |
| 200450006NP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Care Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 089003375N3 | OR | |
| Family Nurse Practitioner | 363LF0000X | 200450006NP | OR | Yes |
Addresses
Primary practice location
Umpqua Community Health Center, Glide Clinic
20170 N Umpqua Hwy
Glide, OR 97443
Mailing address
20170 N Umpqua Hwy
Glide, OR 97443-9620
Phone (541) 870-1363
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 052220 | Medicaid | OR |
Other providers in Glide, OR
- Phillip Ray Allen
- Larry Jene Hall
- Hope Springs Health LLC
- Toni Lynn Hurlocker
- Lucinda Kaul
- Oregon Mobile Physical Therapy
All providers in Glide, OR · Family Nurse Practitioner in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.