Rose Kutsushi

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4501 6TH PL NE
Washington, DC 20017-2204

Phone

(202) 468-0172

NPI assigned

Apr 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• P&G Behavioral Health Services LLC

  • Adult Mental Health Clinic/Center
  • Washington, DC
  • NPI 1154894152
  NPD (past)

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1194420463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 6TH PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172204",
            "telephone_number": "202-468-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 6TH PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172204",
            "telephone_number": "202-468-0172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Martin Luther King Jr Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200207024",
            "country_code": "US",
            "telephone_number": "202-717-9428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTSUSHI",
        "first_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Kut, MD PHD
• Roberto Benjamin Kutcher-Diaz, M.D.
• Adetokunbo Kuteyi
• Swati Kuthiala
• Jerome David Kutschera, PA-C
• Ahmed Jajua Kutubu
• Kuverua Kuverua, CAC II
• Alan Kazumi Kuwabara, D.D.S.
• Jeffery Dean Kuykendall, L.M.T.
• John Scott Kuykendall

• All providers in Washington, DC
• Case Manager/Care Coordinator in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.