Individual provider Active NPI

Kathia P Rosa, NP

  • Primary Care Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1205380151
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2279726 Issued in MA
Practice address
100 Camp St
Hyannis, MA 02601-3063
Phone
(508) 775-1984
NPI assigned
Aug 9, 2016
Last updated
Dec 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN2279726 MA Primary

Addresses

Primary practice location

100 Camp St
Hyannis, MA 02601-3063

Mailing address

100 Camp St
Hyannis, MA 02601-3063
Phone (508) 775-1984

Other practice location 1

735 Attucks Ln
Hyannis, MA 02601-1867
Phone (508) 778-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161118000322 MA Practitioner - Nurse Practitioner 6608155478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Vascular Care Group LLCGroup PAC ID 2769871078, 25 clinicians

Practice addresses (Care Compare)

100 Camp St
Hyannis, MA 02601-3063
Phone (508) 775-1984

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Care Group LLC CurrentSince Jul 19, 2023 Accepting new patients
Harbor Health Services, Inc. PastSince Sep 23, 2024 Accepting new patients
Southeastern Vascular, P.C. Past Accepting new patients
Stephen J. Hoenig, MD, PC Past Accepting new patients

Locations

85 Lincoln St
Ste T4002
Framingham, MA 01702
Phone (508) 250-0087

100 Camp St
Hyannis, MA 02601
Phone (508) 775-1984

Interoperability endpoints

  • Direct secure messaging: kathia.rosa.1@2915.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1205380151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013063",
            "telephone_number": "508-775-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013063",
            "telephone_number": "508-775-1984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Attucks Ln",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026011867",
            "country_code": "US",
            "telephone_number": "508-778-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSA",
        "first_name": "KATHIA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2279726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.