Benjamin Zachariah Rollins, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8969770-4405 Issued in UT

Practice address

476 E Mingo Park Dr
Sandy, UT 84070-2409

Phone

(801) 554-4784

NPI assigned

Sep 27, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: ms_brollin2@landmarkhealth-direct.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1043861214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 E MINGO PARK DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702409",
            "telephone_number": "801-554-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 E MINGO PARK DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702409",
            "telephone_number": "801-554-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "BENJAMIN",
        "middle_name": "ZACHARIAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8969770-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Nichole Rodriguez
• Aleczander Mathhew Rodriquez, RN
• Michael Rogers
• Rachel Lee Rohmer
• Leanne Rohrbach, CSW
• Jordyn Rollins, NURSE PRACTITIONER
• Paige Romney
• Erik Richard Rooklidge, D.D.S.
• Angelisa Smith Roper, NCSP
• Cloey Sue Roper

• Family Nurse Practitioner in Sandy, UT
• Providers in Sandy, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.