Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle Edtha Rose-Dowdy

Individual provider General Practice Registered Nurse · NPI 1194477976

Michelle Edtha Rose-Dowdy is a Nurse Practitioner in Brooklyn, New York. Qualified in 2021, 5 years ago. Practices with Interfaith Professional Physician Services PC, a 384-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

585 Schenectady Ave
Brooklyn, NY 11203-1822
Phone: (718) 604-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 348568 (NY)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 348568-01 (NY)

Record details

NPI number1194477976
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Interfaith Professional Physician Services Pc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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