Individual provider Active NPI

Nancy L Rosebaugh, ANP

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1174854657
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004633 Issued in NC
Practice address
2600 Croasdaile Farm Pkwy
Durham, NC 27705-1331
Phone
(919) 384-2571
Fax
(919) 384-2649
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5004633 NC Primary

Addresses

Primary practice location

2600 Croasdaile Farm Pkwy
Durham, NC 27705-1331

Mailing address

2600 Croasdaile Farm Pkwy
Durham, NC 27705-1331
Phone (919) 384-2571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The United Methodist Retirement Homes, Incorporated CurrentSince Apr 4, 2011 Accepting new patients
The United Methodist Retirement Homes, Incorporated CurrentSince Apr 4, 2011 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1174854657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CROASDAILE FARM PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051331",
            "telephone_number": "919-384-2571",
            "fax_number": "919-384-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CROASDAILE FARM PKWY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277051331",
            "telephone_number": "919-384-2571",
            "fax_number": "919-384-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBAUGH",
        "first_name": "NANCY",
        "middle_name": "L",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.