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

Mrs. Heather Tiffany Rosa I, CRNP

Individual provider Family Nurse Practitioner · NPI 1356906598

Mrs. Heather Tiffany Rosa I, CRNP is a Nurse Practitioner in Kingston, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Medical Center of Northeastern PA LLC, a 6-clinician group. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2019
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

511 Pierce St
Kingston, PA 18704-5731
Phone: (570) 714-3333
Fax: (570) 338-3993
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP020032 (PA)

Record details

NPI number1356906598
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 2, 2019
Last updated in NPPESAugust 31, 2020
Certification dateAugust 31, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Medical Center Of Northeastern Pa Llc — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Kingston