Shannon Rosborough, R.N.

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

License

RN9359274 Issued in FL

Practice address

16003 Ridley PL
Tampa, FL 33647-2050

Phone

(910) 381-1178

NPI assigned

Feb 8, 2014

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

Other names 1

• Ms. Shannon Henderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391817600000",
    "number": "1538583786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16003 RIDLEY PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472050",
            "telephone_number": "910-381-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16003 RIDLEY PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472050",
            "telephone_number": "910-381-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSBOROUGH",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-08",
        "last_updated": "2014-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "FL",
            "license": "RN9359274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HENDERSON",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Esther Rosario, LCSW
• Ileana Celeste Rosario, OTR, CHT
• Natalie Elba Rosario, FNP-C
• Yomaris Rosario
• Jessica Rosbach, APRN
• Micah Roscoe
• Rose and Mary Alf LLC
• Rose Dental Center PA
• Rose Drugs Inc.
• Rose Medical Group LLC

• Military Hospital in Tampa, FL
• Providers in Tampa, FL by specialty
• Military Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2014; 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.