NPIMap

Organization Active NPI

Rose Kihara Nurse Practitioner LLC

Doing business as Family Health Care & Walk In Center

  • Clinic/Center
  • Woodstock, CT
National Provider Identifier
1952890105
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ROSE KIHARA NURSE PRACTITIONER LLC
Doing business as
Family Health Care & Walk In Center
Practice address
39 Route 171
Woodstock, CT 06281
Phone
(860) 776-0187
NPI assigned
May 3, 2018
Last updated
Apr 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Rose Kihara, APRNNPI 1649506445
Title
Aprn
Phone
(860) 315-1198

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

39 Route 171
Woodstock, CT 06281

Mailing address

PO Box 922
Woodstock, CT 06281-3044
Phone (860) 315-1198

Other identifiers 1

IdentifierTypeStateIssuer
008023376MedicaidCT

Other names 1

  • Family Health Care & Walk In Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180904001444 CT Part B Supplier - Clinic/Group Practice 4486904950 Receives reassigned benefits from 2 practitioners
Practice locations: Woodstock, CT

National Provider Directory

National Provider Directory

Locations

39 Route 171
Woodstock, CT 06281
Phone (860) 315-1198

Practitioners & affiliated clinicians

Practitioners 2

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": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1952890105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "062813044",
            "telephone_number": "860-315-1198",
            "fax_number": "860-315-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 ROUTE 171",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "06281",
            "telephone_number": "860-776-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE KIHARA NURSE PRACTITIONER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "KIHARA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "860-315-1198",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008023376",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Care & Walk In Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Health Care & Walk In Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.