Warren Thomas Roseland Jr., MSN, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP9245 Issued in CA

Practice address

2225 NW Stewart Pkwy Ste 200
Roseburg, OR 97471-1650

Phone

(541) 900-4285

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Other names 1

• Mr. Tom Roseland Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Compassion Family Health LLC

  • Health Service Clinic/Center
  • Ashland, OR
  • NPI 1851095319
  NPD Authorized official

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831183326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 ELKRIDGE RD",
            "city": "WEED",
            "state": "CA",
            "postal_code": "960949424",
            "telephone_number": "209-769-6112",
            "fax_number": "209-720-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 NW STEWART PKWY STE 200",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711650",
            "telephone_number": "541-900-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4803 Elkridge Rd",
            "address_purpose": "LOCATION",
            "city": "Weed",
            "state": "CA",
            "postal_code": "96094",
            "country_code": "US",
            "telephone_number": "209-769-6112",
            "fax_number": "209-720-0139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4803 Elkridge Rd",
            "address_purpose": "LOCATION",
            "city": "Weed",
            "state": "CA",
            "postal_code": "96094",
            "country_code": "US",
            "telephone_number": "209-769-6112",
            "fax_number": "209-720-0139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSELAND",
        "first_name": "WARREN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "RN 409980",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201811353",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP9245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON RN LICENSE",
            "identifier": "201811353RN",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500759209",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA RN LICENSE",
            "identifier": "RN049980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON FNP LICENS",
            "identifier": "201811353NP-PP",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA FNP LICENSE",
            "identifier": "NP9245",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRN-CALIF  FNP LICENSE",
            "identifier": "NP 9245",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "ROSELAND",
            "prefix": "MR.",
            "credential": "MSN, RN, FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roseburg Therapy LLC
• Roseburg VA Health Care System
• Roseburg VA Healthcare System
• Roseburg Vamc
• Roseburg Vamc
• Zoe Eliza Rosen, MA, LPC
• Riley Cerise Rosenbaum-Stratton
• Marie Antoinette Roux, R.N.
• Tyler Rowland
• Diana Milantia Roy, PHARMD

• Family Nurse Practitioner in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.