MS. CAROLYN MICHELLE ROSA (NPI# 1528310257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528310257 |
| Entity Type | Individual |
| Full Name | MS. CAROLYN MICHELLE ROSA |
| Credential | RN, MSN, CPNP |
| Practice Address |
1830 Town Center Drive, Suite # 205 Reston Town Center Pediatrics Reston VA 20190 |
| Mailing Address |
1830 Town Center Dr Suite # 205 Reston VA 20190-3292 |
| Practice Telephone | 7034350325 |
| Practice Fax Number | 7034359145 |
| Mailing Telephone | 7034350325 |
| Mailing Fax Number | 7034359145 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024170287 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1830 TOWN CENTER DRIVE, SUITE # 205 RESTON TOWN CENTER PEDIATRICS |
| City | RESTON |
| State | VA |
| Zip Code | 20190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821422866 | Katherine Major Mchugh | Nurse Practitioner | 1830 Town Center Drive, Suite #205, Reston, VA 20190 | 2013-08-27 |
| 1659595171 | Nicole S. Goldberg | Nurse Practitioner | 1830 Town Center Dr, Suite # 205, Reston, VA 20190-3292 | 2007-04-13 |
| 1104049584 | Nancy A Darmory | Nurse Practitioner | 1830 Town Center Dr, Suite # 205, Reston, VA 20190-3292 | 2007-04-11 |
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|---|---|---|---|---|
| 1144820010 | Grace Yi | Nurse Practitioner | 6737 Stone Maple Ter, Centreville, VA 20121-5750 | 2020-10-29 |
| 1407455660 | Peds First Healthcare LLC | Nurse Practitioner | 7419 Maclachlan Dr, Chesterfield, VA 23838-5345 | 2020-10-20 |
| 1669097978 | Madison Smith | Nurse Practitioner | 1220 Wythe St Apt 258, Alexandria, VA 22314-2279 | 2020-06-11 |
| 1013542349 | Juliet Brown | Nurse Practitioner | 5249 Duke St Ste 303, Alexandria, VA 22304-2907 | 2020-03-06 |
| 1285268441 | Marlene Mayweathers | Nurse Practitioner | 224d Cornwall St Nw Ste 104, Leesburg, VA 20176-2700 | 2020-02-26 |
| 1972143972 | Katelyn Hinderland | Nurse Practitioner | 500 Discovery Dr Ste 302, Chesapeake, VA 23320-3871 | 2020-01-08 |
| 1760030118 | Meghan Elizabeth Hoskins | Nurse Practitioner | 2035 Waterside Rd # 105, Prince George, VA 23875-1265 | 2019-08-29 |
| 1679049092 | Kellie Anne Archer | Nurse Practitioner | 7605 Forest Ave Ste 102, Henrico, VA 23229-4936 | 2018-10-24 |
| 1811471139 | Jessica Tabor Cline | Nurse Practitioner | 900a Rio East Ct, Charlottesville, VA 22901-8040 | 2018-09-21 |
| 1306329222 | Laura Elizabeth Grove | Nurse Practitioner | 1002 Amherst St Ste C, Winchester, VA 22601-3323 | 2018-09-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.