Active NPI
Natalie Rose, PA-C
- Medical Physician Assistant
- Englewood, CO
National Provider Identifier
1669779120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0003637
- Practice address
- 3515 S Delaware St
Englewood, CO 80110-3529 - Phone
- (303) 788-0782
- Fax
- (303) 762-1583
- NPI assigned
- Feb 18, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 006058 | GA | |
| Medical Physician Assistant | 363AM0700X | PA.0003637 | CO | Primary |
Addresses
Primary practice location
3515 S Delaware St
Englewood, CO 80110-3529
Mailing address
3701 S Broadway
Englewood, CO 80113-3611
Phone (303) 761-1977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006058 | GA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1669779120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 S BROADWAY",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133611",
"telephone_number": "303-761-1977",
"fax_number": "303-761-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 S DELAWARE ST",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801103529",
"telephone_number": "303-788-0782",
"fax_number": "303-762-1583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "NATALIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-18",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "006058",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0003637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.