Individual provider Active NPI

Brittany Danielle Rose, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Northfork, WV
National Provider Identifier
1104534106
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
114717 Issued in WV
Practice address
3150 Cherokee Rd
Northfork, WV 24868
Phone
(304) 800-1756
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 114717 WV Primary

Addresses

Primary practice location

3150 Cherokee Rd
Northfork, WV 24868

Mailing address

324 Oakvale Rd
Princeton, WV 24740-3829
Phone (681) 282-5576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221209001393 WV Practitioner - Nurse Practitioner 9830568013 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluestone Health Association, Inc. 38 clinicians

Practice addresses (Care Compare)

154 Majestic PL
Bluefield, WV 24701-9170
Phone (304) 409-6720

Hospital & facility affiliations

  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
114717WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Health Association, Inc. CurrentSince Nov 28, 2022 Accepting new patients
Bluestone Health Association, Inc. Current Accepting new patients
Bluestone Health Association, Inc. CurrentSince Nov 28, 2022 Accepting new patients
Bluestone Health Association, Inc. CurrentSince Nov 28, 2022 Accepting new patients
Bluestone Health Association, Inc. CurrentSince Nov 28, 2022 Accepting new patients
Bluestone Health Association, Inc. CurrentSince Nov 28, 2022 Accepting new patients

Locations

154 Majestic Pl
Bluefield, WV 24701
Phone (304) 409-6720

701 Bland St
Bluefield, WV 24701
Phone (304) 800-5413

3997 Beckley Rd
Princeton, WV 24740
Phone (304) 431-5499

106 Thorn St
Princeton, WV 24740
Phone (304) 314-7501

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1104534106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 OAKVALE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403829",
            "telephone_number": "681-282-5576",
            "fax_number": "681-282-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CHEROKEE RD",
            "city": "NORTHFORK",
            "state": "WV",
            "postal_code": "24868",
            "telephone_number": "304-800-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BRITTANY",
        "middle_name": "DANIELLE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "114717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfork, WV

Sources for this page

Verify at the official NPI Registry.