MR. KELLY PATRICK ROSE


Address: 1333 Iris Ave, Boulder, CO 80304-2226
Phone: 3034136233

MR. KELLY PATRICK ROSE (NPI# 1104044890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104044890
Entity Type Individual
Full Name MR. KELLY PATRICK ROSE
Practice Address 1333 Iris Ave
Boulder
CO 80304-2226
Mailing Address 960 Laramie Blvd Unit H
Boulder
CO 80304-4782
Practice Telephone 3034136233
Mailing Telephone 3032460487
Enumeration Date 2007-04-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers KELLY ROSE

NPI Name Taxonomy Address Enumeration
1740728096 Kelly Rose Behavioral Analyst 325 Teal Cres, Virginia Beach, VA 23456-4518 2017-02-07
1003170143 Kelly Lee Rose Marriage & Family Therapist 3701 Shoreline Dr Ste 102a, 102a, Wayzata, MN 55391-4000 2012-07-03
1700955184 Kelly L. Rose Pathology 1648 Pierce Dr, Suite 327, Atlanta, GA 30322-0001 2006-11-07
1932167145 Kelly S Rose Dentist 1100 Main St, Buffalo, NY 14209-2308 2006-05-04
1811502891 Kelly Rose Speech-Language Pathologist 65 Chapel St, Garnerville, NY 10923-1238 2020-09-15
1740824564 Kelly Rose Nurse Practitioner 850 W Baraga Ave, Marquette, MI 49855-4550 2019-11-05
1386119642 Kelly Nicole Rose Occupational Therapist 100 Medical Center Pkwy Ste 100, Huntsville, TX 77340-4959 2018-10-12
1932627015 Kelly Rose Behavioral Analyst 1363 Douglas Dr, Traverse City, MI 49696-8980 2017-09-08
1750789343 Kelly Rose Specialist/Technologist 300 E College Ave, Salisbury, MD 21804-6599 2014-12-12
1558405449 Kelly Rose Psychologist 318 E Basin Rd, New Castle, DE 19720-4214 2007-02-16

Office Location

Street Address 1333 IRIS AVE
City BOULDER
State CO
Zip Code 80304-2226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982606521 Karen Breunig Hine Nurse Practitioner 1333 Iris Ave, Boulder, CO 80304-2226 2005-08-12
1194209106 Philippa Tucker Student in an Organized Health Care Education/Training Program 1333 Iris Ave, Boulder, CO 80304-2226 2018-09-17
1942781174 Victoria Abbey Counselor 1333 Iris Ave, Boulder, CO 80304-2226 2018-08-26
1669966768 Natalie Lamolinara Counselor 1333 Iris Ave, Boulder, CO 80304-2226 2018-06-21
1285126854 Jennifer Egloff Social Worker 1333 Iris Ave, Boulder, CO 80304-2226 2018-05-30
1790276624 Johanna B Grube Student in an Organized Health Care Education/Training Program 1333 Iris Ave, Boulder, CO 80304-2226 2018-05-26
1578053930 Leane Marie Vasquez Peer Specialist 1333 Iris Ave, Boulder, CO 80304-2226 2018-05-11
1730678749 Jennifer Cullom Counselor 1333 Iris Ave, Boulder, CO 80304-2226 2018-05-04
1366931735 Amanda Cantu Counselor 1333 Iris Ave, Boulder, CO 80304-2226 2018-05-01
1679060545 Purnima Jagtap Social Worker 1333 Iris Ave, Boulder, CO 80304-2226 2018-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720605256 Evol.v Chiropractic LLC Chiropractor 2401 Broadway #208, Boulder, CO 80304 2020-07-01
1760038723 Patrica Anne Zeyher Counselor 100 Alpine Ave., Boulder, CO 80304 2019-08-15
1356855928 Opal Counseling Center, LLC Counselor 1480 Lee Hill Dr. #7, Boulder, CO 80304 2017-11-19
1831608603 Lesley Ann Cloke Dietitian, Registered 1895 Bluff St., Unit C, Boulder, CO 80304 2017-09-25
1790209740 Megan Litwiller Occupational Therapist 810 Maxwell Ave, Boulder, CO 80304 2017-08-01
1285163774 Nadine Martin Registered Nurse 311 Mapleton Ave # 331, Boulder, CO 80304 2017-06-08
1598119281 Megan Cronin Larson Social Worker 825 S. Broadway Street, Boulder, CO 80304 2016-04-19
1760844237 Rafia Rebeck Counselor 1235 Elder Ave #7, Boulder, CO 80304 2016-03-24
1629441688 Jennifer S Delaney Counselor 2334 Broadway, Ste. B, Boulder, CO 80304 2015-11-12
1891162301 Kingston Dialysis LLC Clinic/Center 2880 Folsom St Ste 110, Boulder, CO 80304 2015-09-01
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417558107 Alec Farbman Counselor 1941 Pearl St Unit 202, Boulder, CO 80302-4467 2020-11-08
1942801378 Chloe Sari Koeffler Counselor 2919 Valmont Rd Ste 209, Boulder, CO 80301-1350 2020-11-03
1114527660 Anneva Noelle Knapp Garner Counselor 3363 Hickok Pl, Boulder, CO 80301-1984 2020-10-26
1215535828 Emily Forse Counselor 1501 Yarmouth Ave Unit C-18, Boulder, CO 80304-0564 2020-10-15
1174121875 Chris Cannon Counselor 3450 Hayden Pl Apt 3, Boulder, CO 80301-1929 2020-10-14
1992303911 Riese Rose Counselor 4478 Hamilton Ct, Boulder, CO 80305-5554 2020-10-12
1477151728 Karina Maria Tibble Counselor 5378 Sterling Dr # 1, Boulder, CO 80301-2351 2020-10-09
1902403538 Brianna Kaylin Jones Counselor 2024 Goss St Apt 5, Boulder, CO 80302-6577 2020-10-06
1063029510 Ryan O'millian Counselor 2919 Valmont Rd Ste 206, Boulder, CO 80301-1350 2020-09-29
1073123691 Corinne Schuele Counselor 2299 Pearl St Ste 400a, Boulder, CO 80302-4673 2020-08-07
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Competitor

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City BOULDER
Zip Code 80304

Improve Information

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Dataset Information

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.

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