Active NPI
Rosemary Nansen, NP
- Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1659489359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 201159
- Practice address
- 1001 Blythe Blvd
Suite 200D
Charlotte, NC 28203-5866 - Phone
- (704) 373-1813
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 201159 | NC | Primary |
Addresses
Primary practice location
1001 Blythe Blvd
Suite 200D
Charlotte, NC 28203-5866
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1001 Blythe Blvd
Suite 300 - Cardiac Surgery:
Charlotte, NC 28203-5866
Phone (704) 373-0212
Other practice location 2
1900 Brunswick Ave
Charlotte, NC 28207-1822
Phone (704) 304-1110
Other practice location 3
1001 Blythe Blvd
Suite 300 - Thoracic Surgery:
Charlotte, NC 28203-5866
Phone (704) 373-0212
Other practice location 4
1001 Blythe Blvd
Suite 300 - Adult Cardiology
Charlotte, NC 28203-5866
Phone (704) 373-0212
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201159 | NC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1659489359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BLYTHE BLVD",
"address_2": "SUITE 200D",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035866",
"telephone_number": "704-373-1813"
}
],
"practiceLocations": [
{
"address_1": "1001 Blythe Blvd",
"address_2": "Suite 300 - Cardiac Surgery:",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035866",
"country_code": "US",
"telephone_number": "704-373-0212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Brunswick Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282071822",
"country_code": "US",
"telephone_number": "704-304-1110",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Blythe Blvd",
"address_2": "Suite 300 - Thoracic Surgery:",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035866",
"country_code": "US",
"telephone_number": "704-373-0212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Blythe Blvd",
"address_2": "Suite 300 - Adult Cardiology",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035866",
"country_code": "US",
"telephone_number": "704-373-0212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NANSEN",
"first_name": "ROSEMARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "201159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.