Active NPIIndividual provider

Ms. Kayla Rose

Nurse Practitioner in Medford, Massachusetts

NPI Number1770029670
Practice location
170 Governors Ave, Medford, MA 02155-1643
Fax
—
Last updated
March 27, 2017

Kayla Rose is a Nurse Practitioner based in Medford, MA. Kayla Rose practices in Medford, MA. The NPI Number for Kayla Rose is 1770029670 and holds a License No. RN2299577 (MA). The current practice location address for Kayla Rose is 170 Governors Ave, Medford, MA 02155-1643 and can be reached out via phone at 781-306-6000.

Provider Profile Details

NPI Number
1770029670
Provider Name
Kayla Rose
Provider Entity Type
Individual
Gender
Female
Address
170 Governors Ave, Medford, MA 02155-1643
Phone Number
781-306-6000
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
January 16, 2017
Last Update Date
March 27, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Governors Ave
Medford, MA 02155-1643
Zip
02155-1643
Phone Number
781-306-6000
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
31 Turkey Hill RD
West Newbury, MA 01985-2009
City
West Newbury
State
MA
Zip
01985-2009
Phone Number
978-406-7309

License Information

License Number (1)
RN2299577
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2299577
License State (2)
MA
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Kayla Rose?

The NPI number of Ms. Kayla Rose is 1770029670. It was assigned on January 16, 2017 and is currently active in the NPPES registry.

What is the specialty of Ms. Kayla Rose?

Ms. Kayla Rose is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2299577.

Where does Ms. Kayla Rose practice?

The practice location is 170 Governors Ave, Medford, MA 02155-1643. The office can be reached at 781-306-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770029670 directly on the NPPES registry website.

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