Active NPI
Debra S. Rose, R.N., FNP-BC
- Family Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1285989400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16579
- Practice address
- 9333 Park West Blvd
Knoxville, TN 37923-4341 - Phone
- (865) 531-4600
- NPI assigned
- Jul 14, 2012
- 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 | 16579 | TN | Primary |
Addresses
Primary practice location
9333 Park West Blvd
Knoxville, TN 37923-4341
Mailing address
519 Mellen Ave
Knoxville, TN 37919-7676
Phone (865) 524-0015
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16579 | TN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1285989400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 MELLEN AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379197676",
"telephone_number": "865-524-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9333 PARK WEST BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234341",
"telephone_number": "865-531-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "DEBRA",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "R.N., FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-14",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "16579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.