Mary Frances Rose, LNP

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

LPN.165630.MEDS-IV Issued in OH

Practice address

41641 N Ridge Rd Ste B
Elyria, OH 44035-1264

Phone

(440) 324-7406

NPI assigned

Sep 7, 2017

Last updated

Oct 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fortaleza,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lorain, OH
  • NPI 1326463720
  NPD (past)
• Fortaleza,LLC

  • General Practice Physician
  • Lorain, OH
  • NPI 1427567445
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1598283830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 BERLIN RD APT K",
            "city": "HURON",
            "state": "OH",
            "postal_code": "448391956",
            "telephone_number": "419-677-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41641 N RIDGE RD STE B",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351264",
            "telephone_number": "440-324-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "LNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "OH",
            "license": "LPN.165630.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jalil Ross
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• Kristen Roth, L.P.N.

• Licensed Vocational Nurse in Elyria, OH
• Providers in Elyria, OH by specialty
• Licensed Vocational Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.