Active NPI
Rose Mary Coulombe, HHA
- Home Health Aide
- Clearwater, FL
National Provider Identifier
1639699218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- BTR-0036727
- Practice address
- 1280 Lakeview Rd Lot 210
Clearwater, FL 33756-6528 - Phone
- (727) 365-3704
- Fax
- (727) 365-3704
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | BTR-0036727 | FL | Primary |
Addresses
Primary practice location
1280 Lakeview Rd Lot 210
Clearwater, FL 33756-6528
Mailing address
1280 Lakeview Rd Lot 210
Clearwater, FL 33756-6528
Phone (727) 365-3704
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BTR-0036727 | FL | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498176000000",
"number": "1639699218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 LAKEVIEW RD LOT 210",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337566528",
"telephone_number": "727-365-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 LAKEVIEW RD LOT 210",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337566528",
"telephone_number": "727-365-3704",
"fax_number": "727-365-3704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULOMBE",
"first_name": "ROSE",
"middle_name": "MARY",
"credential": "HHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2017-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "BTR-0036727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.