Individual provider Active NPI

Aliah Danielle Rose, APRN

  • Gerontology Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1629776802
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
3018733 Issued in KY
Practice address
1930 Bishop LN Ste 1600
Louisville, KY 40218-1948
Phone
(502) 272-5044
NPI assigned
Feb 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3018733 KY
Gerontology Nurse Practitioner 363LG0600X 3018733 KY Primary

Addresses

Primary practice location

1930 Bishop LN Ste 1600
Louisville, KY 40218-1948

Mailing address

1930 Bishop LN Ste 1600
Louisville, KY 40218-1948
Phone (502) 272-5044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230315002351 KY Practitioner - Nurse Practitioner 7911371893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians
Mandm Medical Clinics LLCGroup PAC ID 5698039097, 3 clinicians

Practice addresses (Care Compare)

1930 Bishop LN
Suite 1600
Louisville, KY 40218-1948
Phone (502) 272-5044

240 Masonic Home Dr
Masonic Home, KY 40041-9000
Phone (502) 873-2356

Hospital & facility affiliations

  • Vna Health at Home Home health agency, Louisville, KY, CCN 187000
  • Sam Swope Care Center Nursing home, Masonic Home, KY, CCN 185388

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3018733KYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Medical Clinics LLC CurrentSince May 25, 2025 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Current Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients

Locations

1930 Bishop Ln
Ste 1600
Louisville, KY 40218
Phone (502) 272-5034

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

240 Masonic Home Dr
Ste 300
Masonic Home, KY 40041

240 Masonic Home Dr
Masonic Home, KY 40041
Phone (502) 873-2356

Interoperability endpoints

  • Direct secure messaging: agarrett77919@direct.nortonhealthcare.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1629776802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BISHOP LN STE 1600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181948",
            "telephone_number": "502-272-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BISHOP LN STE 1600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181948",
            "telephone_number": "502-272-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ALIAH",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3018733",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3018733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.