Catherine Marie Rose, FNP-C, APRN, CNP, RN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN.CNP.0033310 Issued in OH

Practice address

3017 Wilmington Pike Ste C
Kettering, OH 45429-4169

Phone

(937) 800-8990

Fax

(937) 294-5755

NPI assigned

Apr 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: catherine.rose.1@17374.direct.athenahealth.com

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

• Beavertown Clinic Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1902803703
  NPD (past)

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1982391835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292168",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454290168",
            "telephone_number": "937-800-8990",
            "fax_number": "937-294-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 WILMINGTON PIKE STE C",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454294169",
            "telephone_number": "937-800-8990",
            "fax_number": "937-294-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-C, APRN, CNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0033310",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033310",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "APRN.CNP.0033310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason R Roller, PA-C
• Stephanie Elizabeth Roller, PA-C
• Katherine Rommel, M.A., CCC-SLP
• Keith A Rooker, CRNA
• Bernard J Rose, M.D.
• Karl G Rose, M.D.
• Ashley Ross
• Jennifer Roth, APRN, FNP-C
• Angela Routley
• Arionna Roxburgh

• Primary Care Nurse Practitioner in Kettering, OH
• Providers in Kettering, OH by specialty
• Primary Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.