Organization Active NPI

Rose Medical Group LLC

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1861091332
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ROSE MEDICAL GROUP LLC
Practice address
8903 Regents Park Dr Ste 120
Tampa, FL 33647-3083
Phone
(813) 482-8241
Fax
(813) 364-6117
NPI assigned
Oct 25, 2020
Last updated
Oct 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Authorized official

Name
Unyime Joseph Usoro, APRN-C
Title
Healthcare Provider
Phone
(813) 482-8241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

8903 Regents Park Dr Ste 120
Tampa, FL 33647-3083

Mailing address

8903 Regents Park Dr Ste 120
Tampa, FL 33647-3083
Phone (813) 482-8241

National Provider Directory

National Provider Directory

Locations

8903 Regents Park Dr
Ste 120
Tampa, FL 33647
Phone (813) 482-8241

Practitioners & affiliated clinicians

Practitioners 1

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": "1603584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603584000000",
    "number": "1861091332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8903 REGENTS PARK DR STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473083",
            "telephone_number": "813-482-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8903 REGENTS PARK DR STE 120",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473083",
            "telephone_number": "813-482-8241",
            "fax_number": "813-364-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A",
        "authorized_official_last_name": "USORO",
        "authorized_official_first_name": "UNYIME",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "HEALTHCARE PROVIDER",
        "authorized_official_telephone_number": "813-482-8241",
        "authorized_official_credential": "APRN-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.