Active NPI
Nancy L Rosebaugh, ANP
- Family Nurse Practitioner
- Durham, NC
National Provider Identifier
1174854657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5004633
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The United Methodist Retirement Homes, Incorporated | Current | Accepting new patients | |
| The United Methodist Retirement Homes, Incorporated | Current | 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.
-
- Health Service Clinic/Center
- Durham, NC
- NPI 1164648861
-
- Skilled Nursing Facility
- Greenville, NC
- NPI 1720412331
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.