Alexandra J. Rose, LAC. EAMP

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

029343 Issued in SD

Practice address

10212 Fifth Ave NE Ste 140
Seattle, WA 98125-7471

Phone

(206) 440-1634

Fax

(206) 374-8202

NPI assigned

Jan 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrated Oriental Medicine, PS

  • Health Service Clinic/Center
  • Bellevue, WA
  • NPI 1770638389
  NPD (past)

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1376880856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 FIFTH AVE NE STE 140",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257471",
            "telephone_number": "206-440-1634",
            "fax_number": "206-374-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 FIFTH AVE NE STE 140",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257471",
            "telephone_number": "206-440-1634",
            "fax_number": "206-374-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ALEXANDRA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LAC. EAMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC61241826",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "SD",
            "license": "029343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Shannon Rosas, BA
• Valeria Rosas
• Katherine Roscher
• Sandra Susan Roscoe, PHD, LMFT
• Mariah Rosdahl, MSN
• Alexandra Leah Rose, PHD
• Andrea Christine Rose, RN
• Anthony B Rose
• Caroline Rose, M.D.
• Dawn Rose, CRC CDPT LMHCA

• Acupuncturist in Seattle, WA
• Providers in Seattle, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.