Active NPI
Natalie Ann Rosenberg, FNP
- Family Health Clinical Nurse Specialist
- Brockton, MA
National Provider Identifier
1558094201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- RN2364868
- Practice address
- 940 Belmont St BLDG 4
Brockton, MA 02301-5596 - Phone
- (774) 826-1410
- NPI assigned
- Jul 8, 2022
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1558094201 | MA | |
| Family Nurse Practitioner | 363LF0000X | 95019469 | CA | |
| Family Health Clinical Nurse Specialist | 364SF0001X | 95019469 | CA | |
| Family Health Clinical Nurse Specialist | 364SF0001X | RN2364868 | MA | Primary |
Addresses
Primary practice location
940 Belmont St BLDG 4
Brockton, MA 02301-5596
Mailing address
84 Brook Farm Rd
West Roxbury, MA 02132-1612
Phone (949) 923-5407
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95019469 | CA | MD | Family Nurse Practitioner |
| 1558094201 | MA | MD | Family Nurse Practitioner |
| RN2364868 | MA | MD | Family Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1558094201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 BROOK FARM RD",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021321612",
"telephone_number": "949-923-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 BELMONT ST BLDG 4",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023015596",
"telephone_number": "774-826-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "NATALIE",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "1558094201",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95019469",
"primary": false
},
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "CA",
"license": "95019469",
"primary": false
},
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "MA",
"license": "RN2364868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.