Active NPI
Mary Elizabeth Rosenstiel, RN, DNP
- Registered Nurse
- Sandy, OR
National Provider Identifier
1376737445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 79-032717
- Practice address
- 39641 Scenic St
Sandy, OR 97055-6405 - Phone
- (503) 668-5545
- Fax
- (503) 668-7951
- NPI assigned
- Aug 31, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 79-032717 | OR | Primary |
Addresses
Primary practice location
39641 Scenic St
Sandy, OR 97055-6405
Mailing address
18702 SE Richey Rd
Gresham, OR 97080-3323
Phone (503) 492-8137
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79-032717 | OR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Hood Hospice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Based Hospice Care Agency
- Sandy, OR
- NPI 1093717340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354320000000",
"number": "1376737445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18702 SE RICHEY RD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970803323",
"telephone_number": "503-492-8137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39641 SCENIC ST",
"city": "SANDY",
"state": "OR",
"postal_code": "970556405",
"telephone_number": "503-668-5545",
"fax_number": "503-668-7951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENSTIEL",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "RN, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2012-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "79-032717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.