Active NPI
Jamie Rose
- Social Worker
- Cincinnati, OH
National Provider Identifier
1235675802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1502333
- Practice address
- 555 Cincinnati Batavia Pike
Cincinnati, OH 45244-1557 - Phone
- (513) 752-1555
- NPI assigned
- Jan 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1502333 | OH | Primary |
Addresses
Primary practice location
555 Cincinnati Batavia Pike
Cincinnati, OH 45244-1557
Mailing address
7058 Paddison Rd
Cincinnati, OH 45230-2343
Phone (513) 910-2109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2846595 | Medicaid | OH |
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 |
|---|---|---|---|
| 1502333 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1235675802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7058 PADDISON RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452302343",
"telephone_number": "513-910-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 CINCINNATI BATAVIA PIKE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452441557",
"telephone_number": "513-752-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-06",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "1502333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2846595",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.