Decheyla Rouse

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN100734 Issued in GA

Practice address

265 Plantation Rd
Fayetteville, GA 30214-3909

Phone

(574) 485-9898

NPI assigned

Nov 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1962111344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 PLANTATION RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143909",
            "telephone_number": "574-485-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 PLANTATION RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143909",
            "telephone_number": "574-485-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "DECHEYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN100734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nursetia@healingherwellness.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "265 Plantation Rd",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302143909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charity Nikole Roseberry, PMHNP-BC
• Leslie Rosenblatt-Brown, PA-C
• Jacqueline Denise Ross, CRNP
• Jose Rossello, MD
• Lacrecia Rosser, OTR/L
• Spencer O. Rowland, PA
• Roza K Adamczyk MD PC
• RSPS Fayetteville ASC LLC
• Wanda Thornton Rucker, MS
• Michelle Barnett Rudd, AA-C

• Licensed Practical Nurse in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.