JODI WATSON ROSE (NPI# 1124494513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124494513 |
| Entity Type | Individual |
| Full Name | JODI WATSON ROSE |
| Other Name | JODI L WATSON |
| Credential | NP |
| Practice Address |
2253 Chambliss Ave Nw Ste 301 Cleveland TN 37311-3961 |
| Practice Telephone | 4234765002 |
| Practice Fax Number | 4233394466 |
| Mailing Telephone | 4234765002 |
| Mailing Fax Number | 4233394466 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000020261 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q022271 | 05 |
| Street Address |
2253 CHAMBLISS AVE NW STE 301 |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-3961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801863105 | Eric Raul Guerra | Internal Medicine | 2253 Chambliss Ave Nw Ste 301, Cleveland, TN 37311-3961 | 2006-03-06 |
| 1992299283 | Trevor D Wright | Nurse Practitioner | 2253 Chambliss Ave Nw Ste 301, Cleveland, TN 37311-3961 | 2018-06-19 |
| 1679024905 | Erin Helton Crook | Physician Assistant | 2253 Chambliss Ave Nw Ste 301, Cleveland, TN 37311-3961 | 2016-10-21 |
| 1992082838 | Daniel Paul Stewart | Internal Medicine | 2253 Chambliss Ave Nw Ste 301, Cleveland, TN 37311-3961 | 2011-11-07 |
| 1275733107 | Amy R Lindquist | Physician Assistant | 2253 Chambliss Ave Nw Ste 301, Cleveland, TN 37311-3961 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1508464132 | Molly Kane Kane Elek | Nurse Practitioner | 17801 Susan Ave, Cleveland, OH 44111-4148 | 2020-10-15 |
| 1619583424 | Paulina Kauzljar | Nurse Practitioner | 11100 Euclid Ave # 1635, Cleveland, OH 44106-1716 | 2020-09-17 |
| 1508479379 | April Danielle Daniel | Nurse Practitioner | 200 E Boothe St Ste 100, Cleveland, TX 77327-4063 | 2020-08-31 |
| 1730792037 | Jalayn Konys | Nurse Practitioner | 3653 W 159th St, Cleveland, OH 44111-5704 | 2020-08-26 |
| 1962014142 | Cassie Ann Williams | Nurse Practitioner | 470 8th St Nw, Cleveland, TN 37311-1811 | 2020-08-19 |
| 1417565912 | Jenae Camille Hennessey | Nurse Practitioner | 3278 Lakewood Dr Nw, Cleveland, TN 37312-2093 | 2020-07-21 |
| 1851918841 | Leslie Torchick Casteel | Nurse Practitioner | 2305 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3847 | 2020-06-25 |
| 1306462478 | Brooke Denise Booher | Nurse Practitioner | 611 Bell Rd Se, Cleveland, TN 37323-9003 | 2020-06-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| Find all providers in CLEVELAND | ||||
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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.