Tracey Maria Rose, MSN, FNP, RN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

33 340953 Issued in NY

Practice address

25961 148TH Ave
Rosedale, NY 11422-2901

Phone

(718) 978-5752

NPI assigned

Jan 1, 2017

Sex

Female

Sole proprietor

Yes

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

Master of Science - Nursing

State licenses

Interoperability endpoints

• Direct secure messaging: tracey.rose.1@24989.direct.athenahealth.com

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

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483228800000",
    "number": "1144765066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25961 148TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222901",
            "telephone_number": "718-978-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25961 148TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222901",
            "telephone_number": "718-978-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "TRACEY",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP, RN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-01",
        "last_updated": "2017-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33 340953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Robinson
• Trevor Robinson, LMHC
• Lumna Roc, LPN
• Dwayne Eric Rollins, MD
• Nicolonie Rose, LPN
• Vermesha Marie Rose
• Rosedale Dental PC
• Rosedale Medical Office,PLLC
• Rosedale Pharmacy Ny Inc.
• Rosedale Physical Therapy Rehabilitation

• Family Nurse Practitioner in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.

Verify at the official NPI Registry.