Active NPI
Mashae D. Rolland, APRN
- Nurse Practitioner
- Trumann, AR
National Provider Identifier
1003197542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A03568
- Practice address
- 808 Highway 463 N
Trumann, AR 72472 - Phone
- (870) 483-7631
- Fax
- (870) 483-7659
- NPI assigned
- Aug 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A03568 | AR | Primary |
Addresses
Primary practice location
808 Highway 463 N
Trumann, AR 72472
Mailing address
808 Highway 463 N
Trumann, AR 72472-1635
Phone (870) 483-7631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03568 | AR | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1003197542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 HIGHWAY 463 N",
"city": "TRUMANN",
"state": "AR",
"postal_code": "724721635",
"telephone_number": "870-483-7631",
"fax_number": "870-483-7659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 HIGHWAY 463 N",
"city": "TRUMANN",
"state": "AR",
"postal_code": "72472",
"telephone_number": "870-483-7631",
"fax_number": "870-483-7659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLAND",
"first_name": "MASHAE",
"middle_name": "D.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A03568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trumann, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.