Individual provider Active NPI

Gloria M Rose, PHD, NP-C, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1487995072
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
506274 Issued in TX
Practice address
6718 Highway 6 S
Houston, TX 77083-1512
Phone
(832) 328-0044
Fax
(832) 328-0042
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 506274 TX Primary

Addresses

Primary practice location

6718 Highway 6 S
Houston, TX 77083-1512

Mailing address

2103 Fountain Dr
Sugar Land, TX 77478-6012
Phone (281) 989-4298

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
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
506274TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1487995072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 FOUNTAIN DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786012",
            "telephone_number": "281-989-4298",
            "fax_number": "281-240-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 HIGHWAY 6 S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831512",
            "telephone_number": "832-328-0044",
            "fax_number": "832-328-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "GLORIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD, NP-C, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "506274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.