Colleen Rose, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

323056 Issued in NY

Practice address

296 Maranatha Way
Delanson, NY 12053-1730

Phone

(518) 491-3898

NPI assigned

Aug 31, 2018

Last updated

Aug 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1851873392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 MARANATHA WAY",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120531730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 MARANATHA WAY",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120531730",
            "telephone_number": "518-491-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "323056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "323056",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "632542316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Puiatti, PT
• Lynae Katherine Quimby, LMT
• Rebecka Radliff, LPN
• Brittany Rae Rickard, LMSW
• Melissa Rae Roennpagel, R.N.
• Danielle Anne Saldana, M.S.ED-CF-SLP
• Jennifer M Schultz, LICSW, LMSW
• Brett D Seales
• Marjane Brannen Selleck, PT
• Kathleen Sellnow, PT

• Licensed Practical Nurse in Delanson, NY
• Providers in Delanson, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.