Active NPI
Rose James
- Licensed Practical Nurse
- Desoto, TX
National Provider Identifier
1679466478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 669044
- Practice address
- 821 S Polk St Apt 2022
Desoto, TX 75115-7645 - Phone
- (504) 430-9144
- NPI assigned
- May 30, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Licensed Practical Nurse | 164W00000X | 669044 | TX | Primary |
Addresses
Primary practice location
821 S Polk St Apt 2022
Desoto, TX 75115-7645
Mailing address
821 S Polk St Apt 2022
Desoto, TX 75115-7645
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 |
|---|---|---|---|
| 669044 | TX | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1679466478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 S POLK ST APT 2022",
"city": "DESOTO",
"state": "TX",
"postal_code": "751157645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 S POLK ST APT 2022",
"city": "DESOTO",
"state": "TX",
"postal_code": "751157645",
"telephone_number": "504-430-9144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TX",
"license": "669044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.