Rose Rouse Kornegay, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

127314 Issued in NC

Practice address

340 Seminary Street
Kenansville, NC 28349-0948

Phone

(910) 296-2130

Fax

(910) 296-2139

NPI assigned

Aug 16, 2006

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

Registered Nurse

State licenses

Practice roles

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.

• County of Duplin

  • State or Local Public Health Clinic/Center
  • Kenansville, NC
  • NPI 1235198177
  NPD (past)
• County of Duplin

  • Land Ambulance
  • Kenansville, NC
  • NPI 1508919069
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124131735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N GUM ST",
            "city": "WARSAW",
            "state": "NC",
            "postal_code": "283981423",
            "telephone_number": "910-293-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SEMINARY STREET",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283490948",
            "telephone_number": "910-296-2130",
            "fax_number": "910-296-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNEGAY",
        "first_name": "ROSE",
        "middle_name": "ROUSE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "127314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Cavenaugh Johnson, MSW, LCSW
• Kenansville Opco LLC
• Ashley Thigpen Kennedy, OTR
• Jade-Anna King, PHARMD
• Jonathan Hargett Kornegay, MD
• Keith A Kreitz, MD
• Olivia Morton Kumta, PHARMD
• Mary Anne Lane, RN
• John Adam Lanier, FNP-C
• Erin Margaret Lorello, DMD

• Registered Nurse in Kenansville, NC
• Providers in Kenansville, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.