Rosa Mercedes Rotella, FNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN178718 Issued in AZ

Practice address

564 W 9TH Place Suite 2
Mesa, AZ 85201

Phone

(480) 412-6344

Fax

(480) 827-5457

NPI assigned

Jun 28, 2006

Last updated

Jan 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1417238908
  NPD (past)
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1790306066
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1205863677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 W PINTO COURT",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "85143",
            "telephone_number": "203-448-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 W 9TH PLACE SUITE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85201",
            "telephone_number": "480-412-6344",
            "fax_number": "480-827-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTELLA",
        "first_name": "ROSA",
        "middle_name": "MERCEDES",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003149",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN178718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Jane Ross, M. A. CCC/SLP
• Meredith Lynn Ross
• Rostami & Associates PLC
• Rita Rostami Asrabadi
• Addison Marie Rotan, PT, DPT
• Liliana Arielle Lani Roth, CPM, LM
• Peggy Rothenberger, M. S., CF-SLP
• Glenn B. Rothman, M.D.
• Mark Rothstein, PHARMD
• Cassidy Allison-Marie Rottino, COTA/L

• Registered Nurse in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.