Individual provider Active NPI

Rosemary R King, APRN,BC

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1053377572
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN027421 Issued in AZ
Practice address
3003 N Central Ave Ste 800
Phoenix, AZ 85012-2946
Phone
(602) 345-2554
NPI assigned
Apr 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X RN-027421 AZ
Adult Health Nurse Practitioner 363LA2200X RN027421 AZ Primary

Addresses

Primary practice location

3003 N Central Ave Ste 800
Phoenix, AZ 85012-2946

Mailing address

PO Box 1299
215 W. Silver Sky Place
Green Valley, AZ 85622-1299
Phone (520) 400-3456

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN027421AZMDAdult Health Nurse Practitioner
AP0141AZMDPediatric Nurse Practitioner
RN-027421AZMDOccupational Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1053377572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1299",
            "address_2": "215 W. SILVER SKY PLACE",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856221299",
            "telephone_number": "520-400-3456",
            "fax_number": "520-648-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122946",
            "telephone_number": "602-345-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ROSEMARY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "APRN,BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "AZ",
            "license": "RN-027421",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN027421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.