NPIMap

Organization Active NPI

Rosalia Health Clinic PLLC

  • Primary Care Nurse Practitioner
  • Rosalia, WA
National Provider Identifier
1821129776
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP30004008 Issued in WA
Legal business name
ROSALIA HEALTH CLINIC PLLC
Practice address
703 S Whitman Ave
Rosalia, WA 99170
Phone
(509) 523-4950
Fax
(509) 523-4951
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Mrs. Susan V Small, ARNPNPI 1740368786
Title
Manager
Phone
(509) 523-4950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X AP30004008 WA Primary

Addresses

Primary practice location

703 S Whitman Ave
Rosalia, WA 99170

Mailing address

703 S Whitman Ave
Rosalia, WA 99170
Phone (509) 523-4950

National Provider Directory

National Provider Directory

Locations

703 S Whitman Ave
Rosalia, WA 99170
Phone (509) 523-4950

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1821129776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S WHITMAN AVE",
            "city": "ROSALIA",
            "state": "WA",
            "postal_code": "99170",
            "telephone_number": "509-523-4950",
            "fax_number": "509-523-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S WHITMAN AVE",
            "city": "ROSALIA",
            "state": "WA",
            "postal_code": "99170",
            "telephone_number": "509-523-4950",
            "fax_number": "509-523-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALIA HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-523-4950",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP30004008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosalia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.