Nancy L Johnson-Rose, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02899 Issued in IA

Practice address

7481 Highway 65 69
Des Moines, IA 50320-9613

Phone

(515) 953-1500

Fax

(515) 953-2136

NPI assigned

Feb 7, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Nancy Johnson-Kermode Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1700859261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7481 HIGHWAY 65 69",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503209613",
            "telephone_number": "515-953-1500",
            "fax_number": "515-953-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7481 HIGHWAY 65 69",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503209613",
            "telephone_number": "515-953-1500",
            "fax_number": "515-953-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-ROSE",
        "first_name": "NANCY",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634550",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634493",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00445298",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700859261",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "JOHNSON-KERMODE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly J John, D.P.M
• Nalin S John, MD
• David Alan Johns, D.O.
• Joseph Jacob Johns, PT CSCS
• Laura M Johnson-Palomares, B.A., TCADC
• Allyson Joy Johnson
• Becky L Johnson, DNP, ARNP, AAHIVS
• Brooke Johnson, D.O.
• Brynn Johnson
• Bryon N. Johnson, D.O.

• Family Medicine Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.