Michiko Danillie Rose

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

123747MEDS-IV Issued in OH

Practice address

3928 Horizon Dr
Ontario, OH 44903-6541

Phone

(419) 709-2400

NPI assigned

Oct 19, 2009

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1437485901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 WHETSTONE ST",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448203352",
            "telephone_number": "419-709-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 HORIZON DR",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449036541",
            "telephone_number": "419-709-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MICHIKO",
        "middle_name": "DANILLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "123747MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Layne Riggs, M.S., CCC-SLP
• Amber Risner, LMT
• Kelly Ritchey, RD LD
• Katelynn Roach
• Natalie Roby, N.P.
• Alexander William Rospert, DPT
• Chelsea Marie Rouse, RPH
• Kerry Ruhl
• Crystal M Russell, LPCC, CDCA
• Mohamad Saab, D.O

• Licensed Practical Nurse in Ontario, OH
• Providers in Ontario, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.