Jeanne Marie Rosenberg, RN, RN, BSN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN00124360 Issued in WA

Practice address

1350 Bridge St
Clarkston, WA 99403-2332

Phone

(509) 758-2568

Fax

(509) 758-3413

NPI assigned

Dec 30, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2024.

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1669281143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 BRIDGE ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032332",
            "telephone_number": "509-758-2568",
            "fax_number": "509-758-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 BRIDGE ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032332",
            "telephone_number": "509-758-2568",
            "fax_number": "509-758-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG, RN",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "ID",
            "license": "23925",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN00124360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa M Riley
• Mika Scott Rives
• Cindy Roberts
• Elizabeth M Robertson, MS
• Robin J. Henderson, DDS PLLC
• Shilo Faye Ross
• Mark Roubidoux, CRNA
• Paul Andrew Ruggiero-Smith
• Daniel Ryan, MD
• Remington Edwards Salonen, RADT-I

• All providers in Clarkston, WA
• Home Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.