Individual provider Active NPI

Rose N Maina, NP

  • Acute Care Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1366786618
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
808274 Issued in TX
Practice address
11797 South Fwy
Ste 330
Burleson, TX 76028-7026
Phone
(817) 293-1900
Fax
(817) 293-4930
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 808274 TX Primary

Addresses

Primary practice location

11797 South Fwy
Ste 330
Burleson, TX 76028-7026

Mailing address

601 Omega Dr
Suite 206
Arlington, TX 76014-2075
Phone (817) 465-5881

Other identifiers 1

IdentifierTypeStateIssuer
3142937MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130228000462 TX Practitioner - Nurse Practitioner 3072768894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jason a Seiden MD PAGroup PAC ID 7911222542, 2 clinicians

Practice addresses (Care Compare)

11803 S Fwy
Suite 205
Burleson, TX 76028-7030
Phone (817) 293-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
808274TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jason a. Seiden, M.D., P.a. CurrentSince Jan 20, 2015 Accepting new patients
Texas Pulmonary & Critical Care Consultants, PA Past Accepting new patients
Rheumatology Clinic of DFW PLLC PastSince Feb 13, 2024 Accepting new patients

Locations

11803 South Fwy
Ste 104
Burleson, TX 76028
Phone (817) 293-1200

11803 South Fwy
Ste 205
Burleson, TX 76028
Phone (817) 293-1200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24066/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1366786618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OMEGA DR",
            "address_2": "SUITE 206",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142075",
            "telephone_number": "817-465-5881",
            "fax_number": "817-465-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11797 SOUTH FWY",
            "address_2": "STE 330",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287026",
            "telephone_number": "817-293-1900",
            "fax_number": "817-293-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINA",
        "first_name": "ROSE",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "808274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3142937",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.