Active NPI
Shelley Rosenberg, RN
- Registered Nurse
- Wilkes Barre, PA
National Provider Identifier
1104875145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN230257L
- Practice address
- 1000 E Mountain Dr
OB 3Rd Floor
Wilkes Barre, PA 18711-0027 - Phone
- (570) 808-7324
- NPI assigned
- May 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN230257L | PA | Primary |
Addresses
Primary practice location
1000 E Mountain Dr
OB 3Rd Floor
Wilkes Barre, PA 18711-0027
Mailing address
1317 Cherry St
Scranton, PA 18505-3913
Phone (570) 878-4447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN230257L | Other | PA | RN LICENSE |
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)
- Not enrolled
- Credentials
- Certified Nurse Midwife, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN230257L | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1104875145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 CHERRY ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185053913",
"telephone_number": "570-878-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MOUNTAIN DR",
"address_2": "OB 3RD FLOOR",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187110027",
"telephone_number": "570-808-7324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "SHELLEY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN230257L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN230257L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.