Richard Lester Rose, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN65881 Issued in MA

Practice address

391 Broadway
Everett, MA 02149-3470

Phone

(781) 971-5018

NPI assigned

Jun 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Richard Lester Rose Professional name

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1861986242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BRAINTREE HILL PARK STE 101",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021848715",
            "telephone_number": "781-971-5019",
            "fax_number": "781-817-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 BROADWAY",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021493470",
            "telephone_number": "781-971-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "RICHARD",
        "middle_name": "LESTER",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN65881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "ROSE",
            "middle_name": "LESTER",
            "credential": "LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Laura Rogers, RN
• Maritza Andrea Romano, LPN
• Romney K. Laderberg, MD, PC
• Jocelyn Ronda
• Albert Anthony Rongone Jr., PHARMACIST
• Marilyn Ott Rosenbaum, LICSW
• Gabriella Goncalves Rossi
• Aubrey Elizabeth Feinberg Rubin, MS
• Katherine M Rufo, PA
• Saeid Elmi MD PC

• Licensed Practical Nurse in Everett, MA
• Providers in Everett, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.