Active NPI
Marta Kara Charlene Rose, NP
- Adult Health Nurse Practitioner
- Fort Collins, CO
National Provider Identifier
1265552749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0000145
- Practice address
- 3744 S Timberline Rd
Suite 102
Fort Collins, CO 80525-4333 - Phone
- (970) 495-0506
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0000145 | CO | Primary |
Addresses
Primary practice location
3744 S Timberline Rd
Suite 102
Fort Collins, CO 80525-4333
Mailing address
3744 S Timberline Rd
Suite 102
Fort Collins, CO 80525-4333
Phone (970) 495-0506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14280540 | Medicaid | CO |
Other names 1
- Marta Charlene Pritchard
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000145 | CO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Center | Past | Accepting new patients | |
| New Mexico Quickcare LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1265552749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3744 S TIMBERLINE RD",
"address_2": "SUITE 102",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254333",
"telephone_number": "970-495-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3744 S TIMBERLINE RD",
"address_2": "SUITE 102",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805254333",
"telephone_number": "970-495-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "MARTA",
"middle_name": "KARA CHARLENE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "0000145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14280540",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTA",
"last_name": "PRITCHARD",
"middle_name": "CHARLENE",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.