Judy Kay Rose, APRN C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP01134 Issued in NM

Practice address

3820 Commons Ave NE
Albuquerque, NM 87109-5831

Phone

(505) 923-4401

Fax

(505) 343-1862

NPI assigned

Aug 29, 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

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174631048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 COMMONS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095831",
            "telephone_number": "505-923-4401",
            "fax_number": "505-343-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 COMMONS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095831",
            "telephone_number": "505-923-4401",
            "fax_number": "505-343-1862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S Coronado Ave",
            "address_purpose": "LOCATION",
            "city": "Espanola",
            "state": "NM",
            "postal_code": "875322862",
            "country_code": "US",
            "telephone_number": "505-367-4213",
            "fax_number": "505-367-4215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JUDY",
        "middle_name": "KAY",
        "credential": "APRN C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Rose, PH.D.
• Chaya Rose, LMSW
• Cynthia Alise Rose, MSSW, LISW
• Edward Rose, MD
• John W Rose, D.D.S.
• Lucy Rose, MD
• Marquette Rose, MD
• Merlinda Carmen Rose, LCSW
• Nettie Lynne Rose, LISW LADAC
• Noah David Rose

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.