Active NPI
Melissa Cordova Rosado, FNP-BC
- Gastroenterology Physician
- Raleigh, NC
National Provider Identifier
1073255121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 5016043
- Practice address
- 3480 Wake Forest Rd Ste 500
Raleigh, NC 27609-7376 - Phone
- (919) 684-1817
- Fax
- (919) 479-2664
- NPI assigned
- Apr 9, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5016043 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5016043 | NC | |
| Gastroenterology Physician | 207RG0100X | 5016043 | NC | Primary |
Addresses
Primary practice location
3480 Wake Forest Rd Ste 500
Raleigh, NC 27609-7376
Mailing address
3404 Rocket CT
Raleigh, NC 27610-4977
Phone (919) 434-4742
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5016043 | NC | MD | Gastroenterology Physician |
Interoperability endpoints
- mcordovarosado259204@direct.medicine.duke.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649462400000",
"number": "1073255121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3404 ROCKET CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276104977",
"telephone_number": "919-434-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 WAKE FOREST RD STE 500",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097376",
"telephone_number": "919-684-1817",
"fax_number": "919-479-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA ROSADO",
"first_name": "MELISSA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-09",
"last_updated": "2022-04-09",
"certification_date": "2022-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5016043",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016043",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "5016043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.