Individual provider Active NPI

Rose Marie Alessandr C. Conos, MSHS, BSN, RN, CCM

  • Registered Nurse
  • Fresno, CA
National Provider Identifier
1124408216
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
839820 Issued in CA
Practice address
8608 N. Cedar Avenue #104
Fresno, CA 93720
Phone
(818) 471-3993
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 839820 CA Primary

Addresses

Primary practice location

8608 N. Cedar Avenue #104
Fresno, CA 93720

Mailing address

44028 Engle Way 37
Lancaster, CA 93536
Phone (818) 471-3993

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
839820CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1124408216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44028 ENGLE WAY 37",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93536",
            "telephone_number": "818-471-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 N. CEDAR AVENUE #104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "818-471-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOS",
        "first_name": "ROSE MARIE ALESSANDR",
        "middle_name": "C.",
        "credential": "MSHS, BSN, RN, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "839820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.