Heather Tiffany Rosa I, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP020032 Issued in PA

Practice address

511 Pierce St
Kingston, PA 18704-5731

Phone

(570) 714-3333

Fax

(570) 338-3993

NPI assigned

May 2, 2019

Last updated

Aug 31, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Brown Other name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Medical Center of Northeastern PA LLCGroup PAC ID 1951579762, 6 clinicians

Ultra Care Urgent and Family CareGroup PAC ID 1951662063, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Medical Center of Northeastern PA LLC

  • Internal Medicine Physician
  • Kingston, PA
  • NPI 1063715639

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Ultra Care Urgent and Family Care

  • Urgent Care Clinic/Center
  • Kingston, PA
  • NPI 1205334729

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Children's Service Center of Wyoming Valley, Inc

  • Counselor
  • Wilkes Barre, PA
  • NPI 1700861242
  Medicare reassignment NPD
• Children's Service Center of Wyoming Valley, Inc

  • Federally Qualified Health Center (FQHC)
  • Wilkes Barre, PA
  • NPI 1710617857

  Family Medicine

  NPD
• Portonova Foot and Ankle Specialists LLC

  • Foot & Ankle Surgery Podiatrist
  • Bloomsburg, PA
  • NPI 1750762043
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wilkes Barre Hospital Company LLC

  dba Wilkes Barre General Hospital

  • Clinic/Center
  • Wilkes Barre, PA
  • NPI 1053554378

  Hospital

  Care Compare affiliation
• Wilkes Barre Hospital Company LLC

  dba Wilkes Barre General Hospital

  • General Acute Care Hospital
  • Wilkes Barre, PA
  • NPI 1255585303
  Care Compare affiliation

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1356906598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045731",
            "telephone_number": "570-714-3333",
            "fax_number": "570-338-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045731",
            "telephone_number": "570-714-3333",
            "fax_number": "570-338-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "HEATHER",
        "middle_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BROWN",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Margaret Rogan
• John P Rogers, MD
• Danay Roman, LPC
• Anntoinette Romanowski, CRNP
• Leonard F Romanowski, CRNA
• John W Rosencrans, N.P.
• Hillary Rosendale, OT
• Andrea Ross
• Richard E Roth, DO
• Diana Ruhf

• Family Nurse Practitioner in Kingston, PA
• Providers in Kingston, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.