Active NPI
Miriam Michael Rose, FNP
- Family Nurse Practitioner
- Nashville, TN
National Provider Identifier
1285017780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19806
- Practice address
- 1233 17TH Ave S
Nashville, TN 37212-2801 - Phone
- (615) 329-4182
- Fax
- (615) 327-9399
- NPI assigned
- Jul 1, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19806 | TN | Primary |
Addresses
Primary practice location
1233 17TH Ave S
Nashville, TN 37212-2801
Mailing address
1233 17TH Ave S
Nashville, TN 37212-2801
Phone (615) 329-4182
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0083151 | Other | TN | BLUE CROSS |
| 3036819 | Medicaid | TN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Behavioral Health | Current | Accepting new patients | |
| Center for Health Culture and Society | Past | Accepting new patients | |
| Meharry Medical College | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Nashville, TN
- NPI 1841020898
-
- Community/Behavioral Health Agency
- Nashville, TN
- NPI 1346622560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1285017780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 17TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122801",
"telephone_number": "615-329-4182",
"fax_number": "615-327-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 17TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372122801",
"telephone_number": "615-329-4182",
"fax_number": "615-327-9399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "MIRIAM",
"middle_name": "MICHAEL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "19806",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0083151",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3036819",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.