JEFFREY LEE ROSE (NPI# 1578112629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578112629 |
| Entity Type | Individual |
| Full Name | JEFFREY LEE ROSE |
| Practice Address |
607 Division Street Nome AK 99762-0966 |
| Mailing Address |
Po Box 966 Nome AK 99762-0966 |
| Practice Telephone | 9074433344 |
| Mailing Telephone | 9074433344 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700123619 | Jeffrey Rose | Physical Therapist | 300 Rte 17, Mahwah, NJ 07430-2141 | 2013-01-11 |
| 1821192840 | Jeffrey Rose | Family Medicine | 10943 E Cosmos Cir, Scottsdale, AZ 85255-2428 | 2006-09-11 |
| 1396775912 | Jeffrey Paul Rose | Optometrist | 20929 28th Ave, Bayside, NY 11360-2410 | 2006-07-03 |
| 1710969779 | Jeffrey S Rose | Internal Medicine | 900 Bowman Road, Suite 103, Mt. Pleasant, SC 29464-3218 | 2005-11-16 |
| 1396749701 | Jeffrey S Rose | Internal Medicine | 4700 Point Fosdick Dr Nw, Ste 203b, Gig Harbor, WA 98335-1706 | 2005-06-13 |
| 1275977605 | Jeffrey T Rose | Social Worker | 3255 Spring Hollow Ave, Bowling Green, KY 42104-4486 | 2013-04-29 |
| 1275784993 | Jeffrey Campbell Rose | Dentist | 1901 Watt Ave, Suite 1, Sacramento, CA 95825-2152 | 2008-10-01 |
| 1932381787 | Jeffrey Lee Rose | Counselor | 300 Maple St, Brattleboro, VT 05301-6512 | 2007-12-04 |
| 1356423172 | Jeffrey N. Rose | Marriage & Family Therapist | 1330 Richland St, Columbia, SC 29201-2522 | 2006-10-20 |
| 1194708560 | Jeffrey Rose | Nurse Anesthetist, Certified Registered | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2005-11-21 |
| Street Address |
607 DIVISION STREET |
| City | NOME |
| State | AK |
| Zip Code | 99762-0966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053595371 | Seth Green | Psychologist | 607 Division Street, Nome, AK 99762-0966 | 2007-12-21 |
| 1790303451 | Cody Lind Gustaveson | Counselor | 607 Division Street, Nome, AK 99762 | 2020-07-09 |
| 1487272241 | Brooke Ann Maupin | Counselor | 607 Division Street, Nome, AK 99762 | 2020-07-08 |
| 1861018400 | Da-taryotu Joseph Egbuke | Counselor | 607 Division Street, Nome, AK 99762 | 2020-06-19 |
| 1568081263 | Scott Russell Dickinson | Preventive Medicine | 607 Division Street, Nome, AK 99762 | 2020-04-13 |
| 1780217844 | Hannah Marie Schnaidt | Counselor | 607 Division Street, Nome, AK 99762 | 2020-02-18 |
| 1124673645 | Colleen Dee Reynolds | Counselor | 607 Division Street, Nome, AK 99762 | 2019-08-02 |
| 1619539947 | Kelli Tillquist | Counselor | 607 Division Street, Nome, AK 97762 | 2019-07-08 |
| 1750883211 | Bertha Carol Koweluk | Counselor | 607 Division Street, Nome, AK 99762 | 2018-03-01 |
| 1346741634 | Royleen Joan Ross | Psychologist | 607 Division Street, Nome, AK 99762 | 2018-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030773 | Aura Chasteen | Counselor | 907 Division Street, Nome, AK 99762 | 2020-07-09 |
| 1043858210 | Nome Public Schools | Point of Service | 2920 3.5 Nome-teller Hwy, Nome, AK 99762 | 2019-12-18 |
| 1194217638 | Kathryn Davis Mctigue | Dentist | Nome Bypass Rd, Nome, AK 99762 | 2018-05-31 |
| 1891296489 | Yonaton Sahar Davidson | Counselor | Nome Community Center, Nome, AK 99762 | 2018-02-28 |
| 1588186605 | Jennifer R Dean-johnson | Case Manager/Care Coordinator | 1000 Greg Kruschev, Nome, AK 99762 | 2017-07-11 |
| 1457717340 | Kristy Kunayak | Community Health Worker | Front Street 7059, Little Diomede, AK 99762 | 2016-01-07 |
| 1265828743 | Diane Paniptchuk | Community Health Worker | 1000 Kruschak Ave, Nome, AK 99762 | 2015-04-10 |
| 1710384185 | Helen M Eningowuk | Community Health Worker | 1000 Greg Kruscheck Ave, Nome, AK 99762 | 2014-12-01 |
| 1194122671 | Crystal Lynn Fagerstrom | Community Health Worker | 39 Punguk Street, Golovin, AK 99762 | 2014-11-26 |
| 1699187161 | Cynthia Barrand | Counselor | 1000 Greg Kruscheck, Nome, AK 99762 | 2014-06-02 |
| Find all providers in zip 99762 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699187161 | Cynthia Barrand | Counselor | 1000 Greg Kruscheck, Nome, AK 99762 | 2014-06-02 |
| 1881901411 | Sherry Kulukhon | Counselor | 306 W, 5th Avenue, Nome, AK 99762-0966 | 2010-09-02 |
| 1346572096 | Duane Howard Lincoln | Counselor | 306 West Ave, Nome, AK 99762-0966 | 2010-02-05 |
| 1649502329 | Lucy Apatiki | Counselor | 306 West Avenue, Nome, AK 99762-0966 | 2010-02-05 |
| 1649501255 | Teresa Jane Cross | Counselor | 306 W. 5th Ave and Bering, Nome, AK 99762-0966 | 2010-01-21 |
| 1942420385 | Ursula Bridgett Lyon | Counselor | 306 West Fifth Ave., Nome, AK 99762 | 2007-04-26 |
| 1881755882 | Ruth Allene Morton | Counselor | 306 Fifth Ave. West, Nome, AK 99762 | 2006-12-13 |
| 1649892092 | Shannon Marie Klescewski | Counselor | 607 Division St., Nome, AK 99762 | 2020-05-08 |
| 1780217844 | Hannah Marie Schnaidt | Counselor | 607 Division Street, Nome, AK 99762 | 2020-02-18 |
| 1083127435 | Penny Lynn Schaeffer | Counselor | 607 Division Street, Nome, AK 99762 | 2017-11-08 |
| Find all providers in NOME | ||||
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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.