Stacey E Rosenberg, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN146598 Issued in GA

Practice address

416 Pirkle Ferry Rd
Suite J300
Cumming, GA 30040-9201

Phone

(770) 889-9297

Fax

(770) 889-7151

NPI assigned

Nov 3, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1114204203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MOUNT EVEREST WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300225437",
            "telephone_number": "770-754-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 PIRKLE FERRY RD",
            "address_2": "SUITE J300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409201",
            "telephone_number": "770-889-9297",
            "fax_number": "770-889-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "STACEY",
        "middle_name": "E",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN146598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Rollins
• Ronald Magat MD, LLC
• Ariana Mateah Rondon
• Stacey Ronzetti, COTA
• Mary Catherine Rosborough, LPC
• Ansley Ross, FNP
• Ashli Rosser
• Irene Rowland
• Rubil Corp
• Heather Carnahan Rudd, OTRL

• Pediatric Nurse Practitioner in Cumming, GA
• Providers in Cumming, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.