Rosita Tan Que, FAMILY NURSE PRACTIT

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95016190 Issued in CA

Practice address

500 La Terraza Blvd. Suite 130
Escondido, CA 92025-3876

Phone

(760) 737-2050

Fax

(760) 796-3788

NPI assigned

Feb 4, 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

Other names 1

• Mrs. Rosita Que Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Elizabeth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Escondido, CA
  • NPI 1538168950
  NPD

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1558953299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LA TERRAZA BLVD. SUITE 130",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253876",
            "telephone_number": "760-737-2050",
            "fax_number": "760-796-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LA TERRAZA BLVD. SUITE 130",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253876",
            "telephone_number": "760-737-2050",
            "fax_number": "760-796-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUE",
        "first_name": "ROSITA",
        "middle_name": "TAN",
        "name_prefix": "Mrs.",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95016190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSITA",
            "last_name": "SMITH",
            "middle_name": "QUE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christien Angelo Borja Punzalan
• Pure Life Recovery, LLC
• Jocelyn R Putnam
• Qiuling Qin
• Qualitycare Medical Center
• Cindy Quejada, PHARMD
• Akira Quevedo
• Quin H Vu MD Apc
• Madeline Quinn
• Edward Quintana, LCSW

• Family Nurse Practitioner in Escondido, CA
• Providers in Escondido, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.