Individual provider Active NPI

Harmony Rose, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, AL
National Provider Identifier
1215483300
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-117124 Issued in AL
Practice address
9238 Madison Blvd Ste 750
Madison, AL 35758-9164
Phone
(256) 724-8880
Fax
(888) 951-7515
NPI assigned
Aug 29, 2016
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1117124 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-117124 AL Primary

Addresses

Primary practice location

9238 Madison Blvd Ste 750
Madison, AL 35758-9164

Mailing address

9238 Madison Blvd Ste 750
Madison, AL 35758-9164
Phone (256) 725-8880

Other practice location 1

2809 W Mall Dr
Florence, AL 35630-1563
Phone (256) 767-4805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170120000159 AL Practitioner - Nurse Practitioner 2264714690 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1117124ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 1, 2019 Accepting new patients
David Anakwenze MD Psychiatric Outreach LLC CurrentSince Mar 31, 2024 Accepting new patients
North Alabama Family Psychiatry & Counseling Past Accepting new patients
Robert L Geist, PHD, LLC PastSince Jan 1, 2020 Accepting new patients

Locations

2809 W Mall Dr
Florence, AL 35630
Phone (256) 767-4805

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

1414 W College St
Pulaski, TN 38478
Phone (931) 363-3004

Interoperability endpoints

  • Direct secure messaging: rose.harmony.002.0010012@apo.meditab.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1215483300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9238 MADISON BLVD STE 750",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589164",
            "telephone_number": "256-725-8880",
            "fax_number": "888-951-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9238 MADISON BLVD STE 750",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589164",
            "telephone_number": "256-724-8880",
            "fax_number": "888-951-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2809 W Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356301563",
            "country_code": "US",
            "telephone_number": "256-767-4805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "HARMONY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1117124",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-117124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.