Individual provider Active NPI

Joseph Andrew Rose, BSN, FNP-BC

  • Family Nurse Practitioner
  • Grenada, MS
National Provider Identifier
1336901594
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ROSE-7L4909 Issued in MS
Practice address
1117 Sunset Dr Ste 101
Grenada, MS 38901-4080
Phone
(662) 227-1744
NPI assigned
Jan 24, 2024
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ROSE-7L4909 MS Primary

Addresses

Primary practice location

1117 Sunset Dr Ste 101
Grenada, MS 38901-4080

Mailing address

1117 Sunset Dr Ste 101
Grenada, MS 38901-4080
Phone (662) 699-0171

Other names 1

  • Mr. Drew Rose Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503001152 MS Practitioner - Nurse Practitioner 6800236191 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ROSE-7L4909MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group PC CurrentSince Dec 1, 2024 Accepting new patients
Urology Group, PC CurrentSince Dec 1, 2024 Accepting new patients
Webster Urgent Care LLC Current Accepting new patients
Webster Urgent Care LLC CurrentSince Nov 15, 2024 Accepting new patients

Locations

902 E Madison St
Houston, MS 38851
Phone (662) 567-5084

401 Southcrest Cir
Ste 103
Southaven, MS 38671
Phone (601) 349-4820

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1336901594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 SUNSET DR STE 101",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014080",
            "telephone_number": "662-699-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 SUNSET DR STE 101",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014080",
            "telephone_number": "662-227-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JOSEPH",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "BSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "ROSE-7L4909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DREW",
            "last_name": "ROSE",
            "prefix": "MR.",
            "credential": "BSN, FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grenada, MS

Sources for this page

Verify at the official NPI Registry.