Jennifer R Rose, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

46645 Issued in WY

Practice address

1428 Taylor Ave
Sheridan, WY 82801-2331

Phone

(307) 620-2912

Fax

(307) 464-7057

NPI assigned

Feb 12, 2021

Sex

Female

Sole proprietor

Yes

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

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Reproductive Healthcare of the Big Horns

  • Non-Surgical Family Planning Clinic/Center
  • Sheridan, WY
  • NPI 1841313723
  NPD (past)
• Sisterhood Sanctuary, LLC

  • Clinic/Center
  • Sheridan, WY
  • NPI 1679043756
  NPD (past)

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1497348254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 TAYLOR AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012331",
            "telephone_number": "307-620-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 TAYLOR AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012331",
            "telephone_number": "307-620-2912",
            "fax_number": "307-464-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "WY",
            "license": "46645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Holdings, LLC
• Jessica Rodriguez, NP
• Kerri Rogers
• Leita Ashley Rolfe
• Regina Romanjenko
• Shane Rosty
• Bernadeane B Roth, PHARM D
• Kelsi Roth, RT(R)
• Melissa Cheryl Rubie, APRN, PMHNP-C
• Riley Joseph Ryan

• Midwife in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Midwife in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.