Colleen Rose, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP 18595 Issued in CA

Practice address

400 N Pepper Ave
Dept. General Surgery Mod#3
Colton, CA 92324-1801

Phone

(909) 580-6210

Fax

(909) 580-1363

NPI assigned

Jun 16, 2008

Last updated

Nov 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pulmonology Group LLCGroup PAC ID 3274846001, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pulmonology Group LLC

  • Pulmonary Disease Physician
  • Bullhead City, AZ
  • NPI 1134507189
  Medicare reassignment Care Compare group NPD
• Vein Envy LLC

  • Vascular Surgery Physician
  • Litchfield Park, AZ
  • NPI 1225528565
  Medicare reassignment NPD
• Arrowhead Neurosurgical Medical Group, Inc.

  • Neurological Surgery Physician
  • Moreno Valley, CA
  • NPI 1639255854
  NPD
• Lakeside Orthopedic Institute LLC

  • Orthopaedic Surgery Physician
  • Lake Havasu City, AZ
  • NPI 1275564916
  NPD
• Lakeside Orthopedic Institute LLC

  dba Lakeside CT

  • Diagnostic Radiology Physician
  • Lake Havasu City, AZ
  • NPI 1528870243
  NPD
• Lakeside Orthopedic Institute LLC

  dba Lakeside MRI

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1912524380
  NPD
• Foot Envy, LLC

  dba Foot Envy

  • Foot & Ankle Surgery Podiatrist
  • Goodyear, AZ
  • NPI 1386384790
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1871753566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923730221",
            "telephone_number": "909-580-6210",
            "fax_number": "909-580-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "address_2": "DEPT. GENERAL SURGERY MOD#3",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-6210",
            "fax_number": "909-580-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "COLLEEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 18595",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN 577240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Romo
• Marianne Ronay, N.P.
• Diana Rorie
• Adriana Elise Rosales
• Monica Rosas
• Natalie Rosenblum
• Farzaneh A Roshan, P.T.
• Sandy Rosiles
• Lucinda Rosintha
• Melvyn B Ross, M.D.

• Nurse Practitioner in Colton, CA
• Providers in Colton, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.