NPIMap

Organization Active NPI

Rosanthorn

  • Acupuncturist
  • Kenosha, WI
National Provider Identifier
1962683920
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
423055 Issued in WI
Legal business name
ROSANTHORN
Practice address
4103 60TH St
Kenosha, WI 53144-2509
Phone
(262) 331-4083
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Jennifer Rose, LAC, MSOM, LPN
Title
President
Phone
(262) 331-4083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 423055 WI Primary

Addresses

Primary practice location

4103 60TH St
Kenosha, WI 53144-2509

Mailing address

4103 60TH St
Kenosha, WI 53144-2509

National Provider Directory

National Provider Directory

Locations

4103 60th St
Kenosha, WI 53144
Phone (262) 652-1111

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1962683920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 60TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 60TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531442509",
            "telephone_number": "262-331-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSANTHORN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-331-4083",
        "authorized_official_credential": "LAC, MSOM, LPN"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "423055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.