KATHLEEN M ROSE NP, RN - NPI 1871926204 - Nurse Practitioner in Canandaigua, NY

Q: What is Kathleen Rose's NPI number?

The NPI number for Kathleen Rose is 1871926204. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Q: What is Kathleen Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Rose was last updated on November 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kathleen M Rose Np, Rn NPPES

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

KATHLEEN M ROSE NP, RN (NPI 1871926204) is an individual nurse practitioner in Canandaigua, New York, licensed in New York (308945) and active in the NPI registry since August 2013. She maintains a secondary practice location in Penn Yan.

NPPES Registry Identity

NPI1871926204

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATHLEEN M ROSECredential: NP, RN

Location Address3200 WEST STCanandaigua, NY 14424-1722

Mailing Address3200 West StCanandaigua, NY 14424-1722 · (585) 905-0061

Phone(585) 905-0061

Sole ProprietorYes

Enumeration DateAugust 21, 2013

Last NPPES UpdateNovember 11, 20183 updates tracked since enumeration

✔ NPI 1871926204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 308945

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 686821 (NY)

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 308304 (NY)

3200 WEST ST, Canandaigua, NY 14424

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Secondary Practice Location 1

Location 1104 Highland DrPenn Yan, NY 14527 · Phone (315) 521-7591

Other Providers at the Same Location NPPES 6

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

DR. SANDRO R POPELKA DDS, MPH

Dentist (General Practice)