Active NPI
Rosanna Metcalf
- Peer Specialist
- Kennett, MO
National Provider Identifier
1366848855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 925 State Highway W
Kennett, MO 63857 - Phone
- (573) 888-5925
- NPI assigned
- Nov 10, 2014
- Last updated
- Nov 10, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
925 State Highway W
Kennett, MO 63857
Mailing address
1719 Business 60
Dexter, MO 63841
Phone (573) 624-3334
Other names 1
- Rosanna Metcalf
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1366848855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 BUSINESS 60",
"city": "DEXTER",
"state": "MO",
"postal_code": "63841",
"telephone_number": "573-624-3334",
"fax_number": "573-624-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 STATE HIGHWAY W",
"city": "KENNETT",
"state": "MO",
"postal_code": "63857",
"telephone_number": "573-888-5925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALF",
"first_name": "ROSANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROSANNA",
"last_name": "METCALF",
"credential": "MRSSP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kennett, MO
- McPherson Medical & Diagnostic, LLC (A & M Medical & Diagnostic)
- McPherson Medical & Diagnostic, LLC (American Medical Missouri)
- McPherson Medical & Diagnostic, LLC (McPherson Medical and Diagnostic, LLC)
- Paige Mystique Medlin
- Rachel Meeks, BS
- Joni Metheny
- Christina Mezo
- Jennifer Marie Middleton
- Gerald Dean Miller, RN
- Judy Miller
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.