Active NPI
Rose Wertz, N.P.
- Acute Care Nurse Practitioner
- Pueblo, CO
National Provider Identifier
1447319363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4816
- Practice address
- 1925 E Orman Ave Ste A235
Pueblo, CO 81004-3556 - Phone
- (719) 557-3666
- Fax
- (719) 557-3633
- NPI assigned
- Dec 6, 2006
- Last updated
- Jan 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4816 | CO | Primary |
Addresses
Primary practice location
1925 E Orman Ave Ste A235
Pueblo, CO 81004-3556
Mailing address
1925 E Orman Ave Ste A235
Pueblo, CO 81004-3556
Phone (719) 557-3666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4816 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1447319363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 E ORMAN AVE STE A235",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043556",
"telephone_number": "719-557-3666",
"fax_number": "719-557-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 E ORMAN AVE STE A235",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043556",
"telephone_number": "719-557-3666",
"fax_number": "719-557-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERTZ",
"first_name": "ROSE",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CO",
"license": "4816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.