Individual provider Active NPI

Rosland Annette Anderson

  • Health Educator
  • Milwaukee, WI
National Provider Identifier
1578835229
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
6914 West Appleton Avenue
Milwaukee, WI 53216-2732
Phone
(414) 290-7597
Fax
(414) 434-2627
NPI assigned
Jan 26, 2012
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X
Student in an Organized Health Care Education/Training Program 390200000X
Health Educator 174H00000X Primary

Addresses

Primary practice location

6914 West Appleton Avenue
Milwaukee, WI 53216-2732

Mailing address

6914 West Appleton Avenue
Milwaukee, WI 53216-2732
Phone (414) 290-7597

Other practice location 1

9235 W Capitol Dr Lowr Level
Milwaukee, WI 53222-1569
Phone (414) 447-8332

Other identifiers 1

IdentifierTypeStateIssuer
1821423187OtherWIEDUCATION AND TRAINING CENTER

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan's Touch, LLC Current Accepting new patients
Standard of Excellence Education & Training Center, LLC Current Accepting new patients
Appleton Avenue Labs, LLC Current Accepting new patients

Locations

6914 W Appleton Ave
Milwaukee, WI 53216
Phone (414) 290-7596

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1578835229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 WEST APPLETON AVENUE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162732",
            "telephone_number": "414-290-7597",
            "fax_number": "414-434-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 WEST APPLETON AVENUE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162732",
            "telephone_number": "414-290-7597",
            "fax_number": "414-434-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9235 W Capitol Dr Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532221569",
            "country_code": "US",
            "telephone_number": "414-447-8332",
            "fax_number": "414-447-8334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROSLAND",
        "middle_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATION AND TRAINING CENTER",
            "identifier": "1821423187",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.