PEGGY ROSE RN, FNP
NPI 1811396963
Nurse Practitioner - Family in La Porte, IN

Q: What is Peggy Rose's NPI number?

The NPI number for Peggy Rose is 1811396963. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Q: What is Peggy Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Peggy Rose was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2014

809 STATE ST, SUITE 401A, LA PORTE, IN 46350(219) 326-6808 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peggy Rose Rn, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEGGY ROSE RN, FNP (NPI 1811396963) is an individual family provider in La Porte, Indiana, licensed in Indiana (71001276A) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1811396963

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePEGGY ROSECredential: RN, FNP

Location Address809 STATE ST, SUITE 401ALa Porte, IN 46350-3390

Mailing Address2810 Elbridge WayLong Beach, IN 46360-1612 · (219) 861-2765

Phone(219) 326-6808

Sole ProprietorNo

Enumeration DateAugust 14, 2014

✔ NPI 1811396963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71001276A

809 STATE ST, La Porte, IN 46350

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAPORTE COUNTY HEALTH DEPARTMENT

Public Health or Welfare

809 STATE ST, SUITE 401A
LA PORTE, IN 46350

Laporte County (219) 326-6808

LA PORTE COUNTY AUDITOR

Ambulance (Land Transport)

809 STATE ST, SUITE 301A
LA PORTE, IN 46350

Laporte County (219) 326-6808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peggy Rose's NPI number?

The NPI number for Peggy Rose is 1811396963. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Peggy Rose located?

Peggy Rose practices at 809 State St Suite 401A, La Porte, IN 46350. The listed phone number is (219) 326-6808.

What is Peggy Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Peggy Rose was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.