NICKIE ANN ROSARIO (NPI# 1801355466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801355466 |
| Entity Type | Individual |
| Full Name | NICKIE ANN ROSARIO |
| Credential | FNP-BC, ACNPC-AG |
| Practice Address |
975 E 3rd St Chattanooga TN 37403-2147 |
| Mailing Address |
Po Box 22971 Chattanooga TN 37422-2971 |
| Practice Telephone | 4237787000 |
| Mailing Telephone | 4235032414 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
25511 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
25511 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN284659 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
975 E 3RD ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37403-2147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849765 | Pradeep K Jacob | Radiology | 975 E 3rd St, Chattanooga, TN 37403-2103 | 2005-05-31 |
| 1689271520 | Hannah Edmonds | Anesthesiology | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-10-05 |
| 1073122024 | Corey Bray | Pharmacist | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-07-27 |
| 1003437237 | Joseph Kerby Gray | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-28 |
| 1689294290 | Valentin Jurma | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-23 |
| 1922628882 | Morgan Sullivan Mayfield | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-21 |
| 1497375588 | Charles Cody White | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-20 |
| 1114546579 | Elijah Caleb Wyatt | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-15 |
| 1750900213 | Andrew Hairston Mims | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-14 |
| 1811516552 | Victor Kremser | Student in an Organized Health Care Education/Training Program | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033771332 | Jaimie Mills | Specialist/Technologist | 103 Metropolitan Building, Chattanooga, TN 37403 | 2019-07-08 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1992167092 | Majel Victoria Purvis Miles | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste 401, Chattanooga, TN 37403 | 2016-03-28 |
| 1972942902 | Danielle Nessly | Nurse Practitioner | 730 East 11th Street, Chattanooga, TN 37403 | 2013-06-24 |
| 1023453271 | Nathan Claydon | Internal Medicine | 960 East 3rd St, Suite 104, Chattanooga, TN 37403 | 2013-05-01 |
| 1336482603 | Veronica Patterson Zachry | Student in an Organized Health Care Education/Training Program | 975 E. 3rd Street, Chattanooga, TN 37403 | 2013-04-04 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1063773521 | Shelley L Murphy | Emergency Medicine | 1018 Blackford Street, Chattanooga, TN 37403 | 2012-05-31 |
| Find all providers in zip 37403 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
| 1114235231 | Jammie Amanda Dill | Nurse Practitioner | 975 E 3rd St # 247, Trauma Services Department, Chattanooga, TN 37403-2147 | 2010-09-23 |
| 1689204968 | Kristen Lamm Smith | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-01-25 |
| 1215575113 | Abigail N Burroughs | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-12-11 |
| 1780229229 | Dudley W Pate | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-11-07 |
| 1730721465 | Cathy C Patty | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-10-15 |
| 1588206155 | Lauren Elizabeth Shockley | Nurse Practitioner | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2019-10-15 |
| 1225698061 | Jared Daniel Coston | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-06-14 |
| 1346803756 | Kelsey C Rudd | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-04-22 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37403 |
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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.