Individual provider Active NPI

Jaimie Rose, MSN, WHNP

  • Nurse Practitioner
  • Warrenton, VA
National Provider Identifier
1427324920
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024169987 Issued in VA
Practice address
428 Hospital Dr
Warrenton, VA 20186-3026
Phone
(571) 261-3529
Fax
(540) 349-4401
NPI assigned
Mar 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0024169987 VA
Nurse Practitioner 363L00000X 0024169987 VA Primary

Addresses

Primary practice location

428 Hospital Dr
Warrenton, VA 20186-3026

Mailing address

PO Box 748613
Atlanta, GA 30384-8613

Other practice location 1

480 Fletcher Dr Ste 3
Warrenton, VA 20186
Phone (571) 261-3529

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrose393662@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140811000375 VA Practitioner - Nurse Practitioner 5597982876 Reassigns benefits to 1 organization
I20250128004002 GA Practitioner - Nurse Practitioner 5597982876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024169987VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uva Community Health Medical Group, LLC CurrentSince Jul 19, 2016 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Dec 21, 2024 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jul 19, 2016 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Dec 21, 2024 Accepting new patients
Oh Independent Medical Group LLC Past Accepting new patients
Privia Medical Group Gulf Coast, PLLC Past Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (404) 262-7414

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

8640 Sudley Rd
Ste 303
Manassas, VA 20110
Phone (703) 361-7778

480 Fletcher Dr
Ste 3
Warrenton, VA 20186
Phone (571) 261-3529

428 Hospital Dr
Warrenton, VA 20186
Phone (540) 349-0100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jaimie.rose.1@23308.direct.athenahealth.com
  • Direct secure messaging: jrose393662@direct.novanthealth.org
  • Direct secure messaging: jaimie.rose@581151983075332.direct.elationemr.com
  • Direct secure messaging: jaimie.rose@335000925634564.direct.elationemr.com
  • Direct secure messaging: jaimie.rose.1@26020.direct.athenahealth.com
  • Direct secure messaging: jaimie.rose.1@8042.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1427324920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748613",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "571-261-3529",
            "fax_number": "540-349-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Fletcher Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "20186",
            "country_code": "US",
            "telephone_number": "571-261-3529",
            "fax_number": "703-753-5613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JAIMIE",
        "credential": "MSN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0024169987",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024169987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrose393662@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "480 Fletcher Dr Ste 3",
            "city": "Warrenton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "20186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.