Alicia Nicole Rose, CNS, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024175122 Issued in VA

Practice address

19056 Greenbush Road
Parksley, VA 23421

Phone

(757) 665-1260

NPI assigned

Nov 22, 2015

Last updated

Jan 25, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Meridian Psychotherapy Services LLCGroup PAC ID 3173910551, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

Locations

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

• Meridian Psychotherapy Services, LLC

  dba Meridian Psychotherapy Services

  • Adult Mental Health Clinic/Center
  • Virginia Beach, VA
  • NPI 1285304055
  Medicare reassignment Care Compare group NPD
• Eastern Shore Community MH Mr Sas Services Board

  dba Eastern Shore Behavioral Healthcare Center

  • Professional Counselor
  • Parksley, VA
  • NPI 1154411510
  Medicare reassignment NPD
• Rhodium Care Group Inc

  • Psychologist
  • Lakewood, NJ
  • NPI 1235853698

  VA

  Medicare reassignment NPD
• Rose Behavioral Healthcare Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1124537360
  Authorized official Same address or phone
• Eastern Shore Community Services Board

  • Speech-Language Pathologist
  • Belle Haven, VA
  • NPI 1821283722
  NPD

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1386018760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 WHITECHAPEL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556447",
            "telephone_number": "757-460-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19056 GREENBUSH ROAD",
            "city": "PARKSLEY",
            "state": "VA",
            "postal_code": "23421",
            "telephone_number": "757-665-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16410 Courthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Eastville",
            "state": "VA",
            "postal_code": "23347",
            "country_code": "US",
            "telephone_number": "757-460-4655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4509 Whitechapel Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23455",
            "country_code": "US",
            "telephone_number": "757-460-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ALICIA",
        "middle_name": "NICOLE",
        "credential": "CNS, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-22",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024175122",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "VA",
            "license": "0015000927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Nicole Porter, RN CWS
• Virginia Ravizza, LPC
• Dayl Reid-Roberts, LPD
• Riverside Physician Services Inc (Riverside Shore Medical Center - Metompkin)
• Charis Louise Robinette
• Runningers Pharmacy Inc
• Maudene Sherman, LCSW
• Shore Health Services, Inc (Riverside Shore Medical Center at Metompkin)
• Shore Healthcare Group, LLC (Shore Health & Rehab Center)
• Shore Lifecare, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Parksley, VA
• Providers in Parksley, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.