Individual provider Active NPI

Rose M Kult, NP-C

  • Family Nurse Practitioner
  • Hilton Head Island, SC
National Provider Identifier
1861801755
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22475 Issued in SC
Practice address
10 Pope Ave
Hilton Head Island, SC 29928-4719
Phone
(843) 785-7786
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000881 CA
Family Nurse Practitioner 363LF0000X 22475 SC Primary

Addresses

Primary practice location

10 Pope Ave
Hilton Head Island, SC 29928-4719

Mailing address

10 Pope Ave
Hilton Head Island, SC 29928-4719
Phone (843) 785-7786

Other practice location 1

28780 Single Oak Drive
Suite 160
Temecula, CA 92590
Phone (951) 676-4193 ext. 4037

Other names 1

  • Rose M Boggess Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22475SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Plano Urgent Care LLC CurrentSince Oct 9, 2018 Accepting new patients

Locations

901 W 15th St
Plano, TX 75075
Phone (469) 443-0275

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1861801755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 POPE AVE",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284719",
            "telephone_number": "843-785-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 POPE AVE",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299284719",
            "telephone_number": "843-785-7786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28780 Single Oak Drive",
            "address_2": "Suite 160",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "92590",
            "country_code": "US",
            "telephone_number": "951-676-4193 x4037",
            "fax_number": "951-719-1469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULT",
        "first_name": "ROSE",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000881",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "BOGGESS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.