JENNIFER ROSE (NPI# 1578682431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578682431 |
| Entity Type | Individual |
| Full Name | JENNIFER ROSE |
| Credential | MSOM, LAC, LPN |
| Practice Address |
4103 60th St Kenosha WI 53144-2509 |
| Mailing Address |
424 Shelley Dr Racine WI 53405-2141 |
| Practice Telephone | 2623314083 |
| Mailing Telephone | 2623314083 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| X | 164W00000X | Licensed Practical Nurse | 4703039858 | MI | Nursing Service Providers |
| X | 171100000X | Acupuncturist | 423-055 | WI | Other Service Providers |
| X | 174400000X | Specialist | Other Service Providers | ||
| X | 164W00000X | Licensed Practical Nurse | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134693229 | Jennifer Rose | Speech-Language Pathologist | 1130 Old Stone Ln, Arnold, MD 21012-2054 | 2019-01-11 |
| 1811488216 | Jennifer James Rose | Psychologist | 1s376 Summit Ave Ste 5b, Oakbrook Terrace, IL 60181-3968 | 2018-05-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| 1366846628 | Jennifer Patricia Rose | Social Worker | 2903 Se 282nd Ct, Camas, WA 98607-9541 | 2014-10-15 |
| 1316130750 | Jennifer Margaret Rose | Registered Nurse | 1128 Marsh Wren Dr, Patterson, CA 95363-9053 | 2007-08-20 |
| 1952324261 | Jennifer Trider Rose | Dentist | 7110 Patterson Ave, Ste C, Henrico, VA 23229-6755 | 2006-07-26 |
| 1235763038 | Jennifer Lynn Rose | Counselor | 401 W Chicago St, Jonesville, MI 49250-1111 | 2020-03-02 |
| 1063052264 | Jennifer Rose | Dietitian, Registered | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-01-15 |
| 1831741792 | Jennifer Louise Rose | Counselor | 2600 Cordova St Ste 101, Anchorage, AK 99503-2745 | 2019-07-11 |
| 1447727771 | Jennifer Rose | Occupational Therapist | 607 North Ave Ste 14-4, Wakefield, MA 01880-1306 | 2018-10-24 |
| Street Address |
4103 60TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53144-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447293097 | Kathryn L Weeks | Social Worker | 4103 60th St, Kenosha, WI 53144-2509 | 2006-06-13 |
| 1699904276 | Inner Resource Counseling | Social Worker | 4103 60th St, Kenosha, WI 53144-2509 | 2009-07-05 |
| 1134360084 | Carol Margaret Michels | Specialist | 4103 60th St, Kenosha, WI 53144-2509 | 2009-03-23 |
| 1053574285 | Jane E Meyers | Occupational Therapist | 4103 60th St, Kenosha, WI 53144-2509 | 2008-07-08 |
| 1962683920 | Rosanthorn | Acupuncturist | 4103 60th St, Kenosha, WI 53144-2509 | 2007-11-19 |
| 1104042902 | Wisconsin Center for Myofascial Release, Sc | Occupational Therapist | 4103 60th St, Kenosha, WI 53144-2509 | 2007-04-18 |
| 1104965474 | Andrea Sjaardema | Occupational Therapy Assistant | 4103 60th St, Kenosha, WI 53144-2509 | 2007-02-05 |
| 1114065422 | Kelly Ann Chansky | Occupational Therapist | 4103 60th St, Kenosha, WI 53144-2509 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
| 1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
| 1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
| 1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
| 1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
| 1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
| Find all providers in zip 53144 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069718 | Bridgett Lynn Wilder | Nutritionist | 2242 N 17th St, Milwaukee, WI 53205-1220 | 2020-07-01 |
| 1598305476 | Karen Marie Woyak | Nutritionist | 2940 Amundson St, Wisconsin Rapids, WI 54494-3241 | 2020-01-08 |
| 1558730960 | Nutritional Healing LLC | Nutritionist | 400 N Richmond St Ste F, Appleton, WI 54911-4602 | 2015-09-16 |
| 1124424478 | Bernadette Goodine | Nutritionist | 2331 Velp Ave Ste M, Green Bay, WI 54303-6592 | 2014-11-14 |
| 1457697096 | Coalition for Community Empowerment | Nutritionist | 4706 W Capitol Dr, Milwaukee, WI 53216-1535 | 2013-01-01 |
| 1326318585 | Nutritional Healing, LLC | Nutritionist | 400 N. Richmond St., Ste F, Appleton, WI 54911 | 2012-01-05 |
| 1154566834 | Gloria Jean Roohr-hyzer | Nutritionist | 2396 250th Ave, Cushing, WI 54006-3607 | 2008-12-09 |
| 1417177718 | Michelle Rae Gunn | Nutritionist | N3474 Adams Rd, Bruce, WI 54819 | 2007-04-27 |
| 1356372825 | Elizabeth Spencer | Nutritionist | 703 W Hamilton Ave, Eau Claire, WI 54701 | 2006-07-05 |
| 1164065876 | Natasha Schultz | Nutritionist | 615 W Moreland Blvd, Waukesha, WI 53188-2462 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
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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.