Tracy Roseberry, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R717789 Issued in MS

Practice address

5003 Hardy St
Suite 350
Hattiesburg, MS 39402-1319

Phone

(601) 268-9393

Fax

(601) 268-9393

NPI assigned

Dec 27, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22789/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1083691489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 U S HIGHWAY 98",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028569",
            "telephone_number": "601-268-9393",
            "fax_number": "601-268-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 HARDY ST",
            "address_2": "SUITE 350",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021319",
            "telephone_number": "601-268-9393",
            "fax_number": "601-268-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBERRY",
        "first_name": "TRACY",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "R717789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118112",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Kaitlin Rosado, D.O.
• Elizabeth Reagan Francis Rose, MD
• Kelcey Christine Rose, PHARMD
• Joshua R Roseberry, LMSW
• Makalah Roseberry Roseberry
• Brenna M'Lee Rosetti, LMSW
• Randolph Ross Jr., MD
• Randolph J Ross, MD
• William Madison Ross, MD
• Molly Rossiter

• Women's Health Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Women's Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.