Individual provider Active NPI

Aurora Rosa Crosetti, RN

  • Registered Nurse
  • Portland, OR
National Provider Identifier
1790080521
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
201042835 Issued in OR
Practice address
7111 SE Lincoln St
Portland, OR 97215-4051
Phone
(626) 487-7267
NPI assigned
Jan 26, 2011
Last updated
Jan 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201042835 OR Primary

Addresses

Primary practice location

7111 SE Lincoln St
Portland, OR 97215-4051

Mailing address

7111 SE Lincoln St
Portland, OR 97215-4051
Phone (626) 487-7267

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
201042835ORMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1790080521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 SE LINCOLN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972154051",
            "telephone_number": "626-487-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 SE LINCOLN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972154051",
            "telephone_number": "626-487-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSETTI",
        "first_name": "AURORA",
        "middle_name": "ROSA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201042835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.