Active NPI
Mya Rose Rowe, C.M.T.
- Specialist
- Neillsville, WI
National Provider Identifier
1811204100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4574-046
- Practice address
- 154 E 5TH St
Neillsville, WI 54456-1941 - Phone
- (715) 937-3115
- NPI assigned
- Sep 8, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 4574-046 | WI | Primary |
Addresses
Primary practice location
154 E 5TH St
Neillsville, WI 54456-1941
Mailing address
154 E 5TH St
Neillsville, WI 54456-1941
Phone (715) 937-3115
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4574-046 | WI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1811204100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 E 5TH ST",
"city": "NEILLSVILLE",
"state": "WI",
"postal_code": "544561941",
"telephone_number": "715-937-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 E 5TH ST",
"city": "NEILLSVILLE",
"state": "WI",
"postal_code": "544561941",
"telephone_number": "715-937-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE",
"first_name": "MYA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "C.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "4574-046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neillsville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.