Camilla Rose, DNP

Primary specialty

MidwifeTaxonomy code 176B00000X

Practice address

3650 Joseph Siewick Dr Ste 203
Fairfax, VA 22033-1712

Phone

(703) 391-1500

NPI assigned

May 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: camilla.rose.1@16588.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Medicine Services of TN, LLC

  • Hospitalist Physician
  • Nashville, TN
  • NPI 1982301065
  Medicare reassignment NPD
• Obhg Tennessee, P.C.

  • Obstetrics & Gynecology Physician
  • Jackson, TN
  • NPI 1285924977
  Medicare reassignment NPD
• Pediatrix Medical Group of Tennessee, P.C.

  • Neonatal-Perinatal Medicine Physician
  • Nashville, TN
  • NPI 1497852107

  Advanced Practice Midwife

  Medicare reassignment NPD

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1760048342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PAGE DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723438",
            "telephone_number": "615-598-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR STE 203",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331712",
            "telephone_number": "703-391-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CAMILLA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "29067",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aranzazu Angelica Rosa
• Dina Rosa, D.C.
• Chela Rosales, LPC
• Joshua Alan Rosansky, PA-C
• Louis William Rosato Jr.
• Denaij Rose
• Helen Marie Rose, MSW
• Elizabeth Brandi Adair Rosebrock, MA, CAS
• Rebecca Sue Roselle, CNS
• Russell Thomas Roselle, CHIROPRACTOR DC

• Midwife in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.