Active NPI
Rollie Rockett, RN, MSN, CPNP
- Pediatric Nurse Practitioner
- San Antonio, TX
National Provider Identifier
1033585799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP127035
- Practice address
- 1401 S Flores St Apt 103
San Antonio, TX 78204-1650 - Phone
- (574) 849-0911
- NPI assigned
- Aug 18, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP127035 | TX | Primary |
Addresses
Primary practice location
1401 S Flores St Apt 103
San Antonio, TX 78204-1650
Mailing address
1401 S Flores St Apt 103
San Antonio, TX 78204-1650
Phone (574) 849-0911
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Antonio a Thru Z Pediatrics PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIDDBA/Endpoint/BIDDBA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1609931088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1033585799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S FLORES ST APT 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782041650",
"telephone_number": "574-849-0911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S FLORES ST APT 103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782041650",
"telephone_number": "574-849-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKETT",
"first_name": "ROLLIE",
"name_prefix": "Mr.",
"credential": "RN, MSN, CPNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-18",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP127035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.