Active NPI
Karen H Rose, BSN, RN, C.PED
- Pedorthist
- Wilson, NC
National Provider Identifier
1487089116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- 20989
- Practice address
- 309-B Nash St W
Wilson, NC 27893 - Phone
- (252) 237-1188
- Fax
- (252) 206-1990
- NPI assigned
- Sep 12, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pedorthist | 224L00000X | 20989 | NC | Primary |
Addresses
Primary practice location
309-B Nash St W
Wilson, NC 27893
Mailing address
309-B Nash St W
Wilson, NC 27893
Phone (252) 237-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795295 | Medicaid | NC | |
| 20989 | Other | NC | CPED CERTIFICATION ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20989 | NC | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1487089116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309-B NASH ST W",
"city": "WILSON",
"state": "NC",
"postal_code": "27893",
"telephone_number": "252-237-1188",
"fax_number": "252-206-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309-B NASH ST W",
"city": "WILSON",
"state": "NC",
"postal_code": "27893",
"telephone_number": "252-237-1188",
"fax_number": "252-206-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "KAREN",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "BSN, RN, C.PED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "NC",
"license": "20989",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795295",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CPED CERTIFICATION ID",
"identifier": "20989",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.