Carolyn M Rose, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

386175 Issued in CA

Practice address

90 Brodin LN
Watsonville, CA 95076-0507

Phone

(831) 566-3653

NPI assigned

Jul 31, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1469923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469923200000",
    "number": "1619420239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 OTIS ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603552",
            "telephone_number": "831-566-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BRODIN LN",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950760507",
            "telephone_number": "831-566-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-31",
        "last_updated": "2016-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "386175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viridiana Roman
• Anitza Xitlali Romero, RD
• Juan Luis Romero
• Leslie Ann Romero
• Tzitziqui Romero
• Mercy G. Rose, NP-C
• Muriel Lisa Rose, PA-C
• Alexandra Nicole Ross, PA-C
• Dena Ross
• Vaal Rothman

• Home Health Registered Nurse in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Home Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2016; 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.