Active NPI
Kaitlyn Rose, ACNPC-AG
- Surgery Physician
- McKinney, TX
National Provider Identifier
1295586345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 1156111
- Practice address
- 7240 County Road 410
McKinney, TX 75071-0548 - Phone
- (903) 267-4176
- NPI assigned
- Mar 28, 2024
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1156111 | TX | Primary |
Addresses
Primary practice location
7240 County Road 410
McKinney, TX 75071-0548
Mailing address
7240 County Road 410
McKinney, TX 75071-0548
Phone (903) 267-4176
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 |
|---|---|---|---|
| 1156111 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1295586345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7240 COUNTY ROAD 410",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750710548",
"telephone_number": "903-267-4176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7240 COUNTY ROAD 410",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750710548",
"telephone_number": "903-267-4176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "KAITLYN",
"credential": "ACNPC-AG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "1156111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.