Active NPI
Rose Behavioral Healthcare Services, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Virginia Beach, VA
National Provider Identifier
1124537360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024175122
- Legal business name
- ROSE BEHAVIORAL HEALTHCARE SERVICES, PLLC
- Practice address
- 4509 Whitechapel Dr
Virginia Beach, VA 23455-6447 - Phone
- (757) 460-4655
- NPI assigned
- Sep 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Nicole Rose, CNS, NP
- Title
- Manager
- Phone
- (757) 460-4655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024175122 | VA | Primary |
Addresses
Primary practice location
4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Mailing address
4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505865600000",
"number": "1124537360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4509 WHITECHAPEL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4509 WHITECHAPEL DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556447",
"telephone_number": "757-460-4655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE BEHAVIORAL HEALTHCARE SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-20",
"last_updated": "2017-09-20",
"status": "A",
"authorized_official_last_name": "ROSE",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "757-460-4655",
"authorized_official_credential": "CNS, NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024175122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.