Active NPI
Banee M Rock
- Psychiatric/Mental Health Registered Nurse
- Wheat Ridge, CO
National Provider Identifier
1043354830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 88789
- Practice address
- 4851 Independence St Ste 270
Wheat Ridge, CO 80033-6712 - Phone
- (303) 467-5785
- NPI assigned
- Feb 16, 2007
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 88789 | CO | Primary |
Addresses
Primary practice location
4851 Independence St Ste 270
Wheat Ridge, CO 80033-6712
Mailing address
8474 Chase Dr
Arvada, CO 80003-1200
Phone (303) 424-5832
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 |
|---|---|---|---|
| 88789 | CO | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1043354830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8474 CHASE DR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800031200",
"telephone_number": "303-424-5832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 INDEPENDENCE ST STE 270",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336712",
"telephone_number": "303-467-5785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "BANEE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CO",
"license": "88789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
- Kristen Robinson, PTA
- Lenya B. Robinson, MA, LPC
- Robert Gene Robinson
- Thomas E. Robinson Jr.
- Mikaelah Rae Robledo
- Rocky Mountain Cosmetic & Reconstructive Surgery Assoc, P.C.
- Rocky Mountain Eye Surgeons PLLC
- Rocky Mountain Heart Associates, P.C.
- Rocky Mountain Movement and Spine, LLC
- Rocky Mountain Pulmonary & Critical
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.