Active NPI
Ralph Andrew Rosa, REGISTERED NURSE(RN)
- Registered Nurse
- Mansfield Center, CT
National Provider Identifier
1659676369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- E58366
- Practice address
- 189 Storrs Road
(CT Route 195) Natchaug Hospital
Mansfield Center, CT 06250 - Phone
- (860) 456-1311
- Fax
- (860) 423-6114
- NPI assigned
- Jan 12, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | E58366 | CT | Primary |
Addresses
Primary practice location
189 Storrs Road
(CT Route 195) Natchaug Hospital
Mansfield Center, CT 06250
Mailing address
189 Storrs Road
(CT Route 195) Natchaug Hospital
Mansfield Center, CT 06250
Phone (860) 456-1311
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 |
|---|---|---|---|
| E58366 | CT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1659676369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "189 STORRS ROAD",
"address_2": "(CT ROUTE 195) NATCHAUG HOSPITAL",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "06250",
"telephone_number": "860-456-1311",
"fax_number": "860-423-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 STORRS ROAD",
"address_2": "(CT ROUTE 195) NATCHAUG HOSPITAL",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "06250",
"telephone_number": "860-456-1311",
"fax_number": "860-423-6114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "RALPH",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "REGISTERED NURSE(RN)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-12",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "E58366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield Center, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.