Kimberly Sue Rossell

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703086374 Issued in MI

Practice address

755 E Grand Blanc Rd
Grand Blanc, MI 48439-1359

Phone

(248) 736-7392

NPI assigned

Mar 21, 2018

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1588168942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E GRAND BLANC RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E GRAND BLANC RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391359",
            "telephone_number": "248-736-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSELL",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703086374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Roodbergen, P.A.
• Darline Rosario
• Elizabeth Rose, LLP
• Leslie Lee Rose, PA-C
• Kassandra Ross
• Anna Lee Roth, NP
• Lindsey Ann Roth, NP
• Amiria Meth Rouamba
• Jennifer Marlene Marie Roupe
• Theodoor Willem Roverts Jr., MD

• Licensed Practical Nurse in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.