Active NPI
Donna L Rose
- Lodging Provider
- Flagstaff, AZ
National Provider Identifier
1275717530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- License
- ALH-P-6374
- Practice address
- 6005 E Abineau Canyon Dr
Flagstaff, AZ 86004-7168 - Phone
- (928) 635-6750
- Fax
- (928) 438-3300
- NPI assigned
- Dec 21, 2007
- 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 |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | ALH-P-6374 | AZ | Primary |
Addresses
Primary practice location
6005 E Abineau Canyon Dr
Flagstaff, AZ 86004-7168
Mailing address
6005 E Abineau Canyon Dr
Flagstaff, AZ 86004-7168
Phone (928) 635-6750
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 |
|---|---|---|---|
| ALH-P-6374 | AZ | MD | Lodging Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1275717530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 E ABINEAU CANYON DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047168",
"telephone_number": "928-635-6750",
"fax_number": "928-438-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 E ABINEAU CANYON DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047168",
"telephone_number": "928-635-6750",
"fax_number": "928-438-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "DONNA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": "AZ",
"license": "ALH-P-6374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.