Individual provider Active NPI

Rose Goure, ARNP, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1144620964
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP 60445525 Issued in WA
Practice address
3615 Larrabee Ave
Bellingham, WA 98229-3219
Phone
(360) 738-3615
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP 60445525 WA Primary

Addresses

Primary practice location

3615 Larrabee Ave
Bellingham, WA 98229-3219

Mailing address

3615 Larrabee Ave
Bellingham, WA 98229-3219
Phone (360) 738-3615

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

State licenses

LicenseStateTypeSpecialty
AP 60445525WAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1144620964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 LARRABEE AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982293219",
            "telephone_number": "360-738-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 LARRABEE AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982293219",
            "telephone_number": "360-738-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURE",
        "first_name": "ROSE",
        "credential": "ARNP, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP 60445525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.