Active NPI
Joseph Andrew Rose, BSN, FNP-BC
- Family Nurse Practitioner
- Grenada, MS
National Provider Identifier
1336901594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ROSE-7L4909
- Practice address
- 1117 Sunset Dr Ste 101
Grenada, MS 38901-4080 - Phone
- (662) 227-1744
- NPI assigned
- Jan 24, 2024
- Last updated
- Jan 24, 2024
- Sex
- Male
- 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 | 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ROSE-7L4909 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Group PC | Current | Accepting new patients | |
| Urology Group, PC | Current | Accepting new patients | |
| Webster Urgent Care LLC | Current | Accepting new patients | |
| Webster Urgent Care LLC | Current | 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.
-
- Urology Physician
- Southaven, MS
- NPI 1093973836
-
- Urgent Care Clinic/Center
- Mathiston, MS
- NPI 1689197774
-
dba Webster Urgent Care, Houston
- Urgent Care Clinic/Center
- Houston, MS
- NPI 1871169680
-
- Clinical Medical Laboratory
- Marion, AR
- NPI 1184322067
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.