Active NPI
Rosemond Dennis
- Nurse Practitioner
- Burke, VA
National Provider Identifier
1205349107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0024174944
- Practice address
- 9014 Home Guard Dr
Burke, VA 22015-2121 - Phone
- (571) 247-1410
- NPI assigned
- Nov 14, 2017
- Last updated
- Nov 14, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024174944 | VA | Primary |
Addresses
Primary practice location
9014 Home Guard Dr
Burke, VA 22015-2121
Mailing address
9014 Home Guard Dr
Burke, VA 22015-2121
Phone (571) 247-1410
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024174944 | VA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1205349107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9014 HOME GUARD DR",
"city": "BURKE",
"state": "VA",
"postal_code": "220152121",
"telephone_number": "571-247-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9014 HOME GUARD DR",
"city": "BURKE",
"state": "VA",
"postal_code": "220152121",
"telephone_number": "571-247-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "ROSEMOND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-14",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024174944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.