Active NPI
Carolyn S Rose, CRNA
- Certified Registered Nurse Anesthetist
- Wamego, KS
National Provider Identifier
1699704247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 13-26942-082
- Practice address
- 711 Genn Dr
Wamego, KS 66547-1179 - Phone
- (785) 456-2295
- Fax
- (785) 456-9467
- NPI assigned
- Jul 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 13-26942-082 | KS | Primary |
Addresses
Primary practice location
711 Genn Dr
Wamego, KS 66547-1179
Mailing address
711 Genn Dr
Wamego, KS 66547-1179
Phone (785) 456-2295
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-26942-082 | Other | KS | REGISTERED NURSE |
| 54153 | Other | KS | REG. NURSE ANESTHETIST |
| 144577 | Other | KS | BLUE CROSS PROVIDER # |
| 54153 | Other | KS | ARNP |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-26942-082 | KS | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699704247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 GENN DR",
"city": "WAMEGO",
"state": "KS",
"postal_code": "665471179",
"telephone_number": "785-456-2295",
"fax_number": "785-456-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 GENN DR",
"city": "WAMEGO",
"state": "KS",
"postal_code": "665471179",
"telephone_number": "785-456-2295",
"fax_number": "785-456-9467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "CAROLYN",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "13-26942-082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "13-26942-082",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REG. NURSE ANESTHETIST",
"identifier": "54153",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "144577",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP",
"identifier": "54153",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wamego, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.