Jesse Shelton Rose

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

171M00000X

Practice address

520 E Gordon Ave
Harrison, AR 72601-5923

Phone

(870) 391-9056

NPI assigned

Jun 18, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1740662436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E GORDON AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726015923",
            "telephone_number": "870-391-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E GORDON AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726015923",
            "telephone_number": "870-391-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JESSE",
        "middle_name": "SHELTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": "171M00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesa Carol Rogers, M.S., CCC-SLP
• Penny Rogers
• Chris D Rohr, HIS
• Jesse Newton Roy Root
• Anthony Joseph Rose, PA-C
• Elizabeth Sue Ross Chambers, M.D.
• Thomas T Ross, BS PHARMACY
• Thomas Brent Rosson Jr., M.D.
• Ronald Angelo Rubin Rubio, M.D.
• Manuel Stephen Ryan

• Case Manager/Care Coordinator in Harrison, AR
• Providers in Harrison, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.