Active NPI
Karianne Szpak Rose
- School Psychologist
- Bradenton, FL
National Provider Identifier
1184961682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 11840 Brookside Dr
Bradenton, FL 34211-4527 - Phone
- (724) 777-1518
- NPI assigned
- Jan 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
11840 Brookside Dr
Bradenton, FL 34211-4527
Mailing address
11840 Brookside Dr
Lakewood Ranch, FL 34211-4527
Other practice location 1
1608 53rd Ave W
Bradenton, FL 34207-2867
Phone (941) 254-4917
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184961682 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Bradenton |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593993600000",
"number": "1184961682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11840 BROOKSIDE DR",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342114527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11840 BROOKSIDE DR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342114527",
"telephone_number": "724-777-1518"
}
],
"practiceLocations": [
{
"address_1": "1608 53rd Ave W",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342072867",
"country_code": "US",
"telephone_number": "941-254-4917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "KARIANNE",
"middle_name": "SZPAK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-03",
"last_updated": "2020-07-06",
"certification_date": "2020-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184961682",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Bradenton",
"affiliation": "N",
"address_1": "11840 Brookside Dr",
"city": "Bradenton",
"state": "FL",
"country_code": "US",
"postal_code": "342114527",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.