DR. CORAL ROSEBERRY DNP FNP AGNP NPI 1255012860

NPI Information

NPI: 1255012860
Provider Name: DR. CORAL ROSEBERRY, DNP, FNP, AGNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8851 CENTER DR STE 408
LA MESA, CA
ZIP 91942
Phone: (619) 583-1174
Get Directions

DR. Coral Roseberry, DNP, FNP, AGNP is a family nurse practitioner in La Mesa, CA with 1 years of experience. DR. Coral Roseberry, DNP, FNP, AGNP NPI is 1255012860. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8851 CENTER DR STE 408
LA MESA, CA
ZIP 91942-076
Phone: (619) 583-1174

The NPI 1255012860 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2023 and was last updated on 8/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN95169759	CALIFORNIA	No
2	363LG0600X	Nurse Practitioner	Gerontology	95026375	CALIFORNIA	No
3	363LF0000X	Nurse Practitioner	Family	95026375	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »