Jessica Rose, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010467 Issued in VA

Practice address

12401 Gayton Rd
Richmond, VA 23238-2291

Phone

(804) 519-3876

NPI assigned

Oct 12, 2022

Last updated

Oct 30, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1376269308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 GAYTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232382291",
            "telephone_number": "804-519-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 GAYTON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232382291",
            "telephone_number": "804-519-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N 23rd St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232237101",
            "country_code": "US",
            "telephone_number": "804-519-3876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JESSICA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Leon Rose, D.O.
• Bethany R. Rose, AUD
• Carrie Rose, FNP-C
• Graham C Rose, D.D.S.
• Jennifer Winston Rose
• Katherine Rose, DMD
• Martine C Rose, D.D.S.
• Michelle T Rose
• Renee Michelle Rose, LCSW
• S. Rutherfoord Rose, PHARMD

• Speech-Language Pathologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.