Active NPI
Roshann Rene Reese
- Home Health Registered Nurse
- Pasadena, CA
National Provider Identifier
1679518138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 566078
- Practice address
- 191 S San Gabriel Blvd
Pasadena, CA 91107-4839 - Phone
- (626) 676-4168
- Fax
- (626) 507-8148
- NPI assigned
- Jun 18, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 566078 | CA | Primary |
| Case Management Registered Nurse | 163WC0400X | 566078 | CA | |
| Community Health Registered Nurse | 163WC1500X | 566078 | CA |
Addresses
Primary practice location
191 S San Gabriel Blvd
Pasadena, CA 91107-4839
Mailing address
191 S San Gabriel Blvd
Pasadena, CA 91107-4839
Phone (626) 676-4168
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 |
|---|---|---|---|
| 566078 | CA | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1679518138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 S SAN GABRIEL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074839",
"telephone_number": "626-676-4168",
"fax_number": "626-507-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 S SAN GABRIEL BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074839",
"telephone_number": "626-676-4168",
"fax_number": "626-507-8148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "ROSHANN",
"middle_name": "RENE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "CA",
"license": "566078",
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "566078",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "566078",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.