Rose Derm Surgery & Wellnes Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ROSE DERM SURGERY & WELLNES CENTER LLC

Practice address

3157 Robert C Byrd Dr
Beckley, WV 25801-3724

Phone

(304) 923-7070

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Whitney Rose, NP

Title

Owner/Provider

Phone

(304) 923-7070

Specialties & licenses 1

Addresses

Other names 1

• Whitney Rose Other name

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638662400000",
    "number": "1265105167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013724",
            "telephone_number": "304-923-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DERM SURGERY & WELLNES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-12-05",
        "certification_date": "2021-12-05",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "304-923-7070",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitney Rose",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Baily Romanello
• Jose S Romero, MD
• Jenna Roop
• Evangelyn Michelle Rosario
• Angel L Rosas-Acevedo, M.D.
• Belinda Sue Rose
• Brady Rose
• Kristina Rose
• Nellie Sue Rose, LMT
• Paul Todd Rose, D.D.S.

• Family Nurse Practitioner in Beckley, WV
• Providers in Beckley, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; 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.