Individual provider Active NPI

Stacy Marie Rohrbough, NP

  • Nurse Practitioner
  • Monterey, CA
National Provider Identifier
1053543777
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19172 Issued in CA
Practice address
833 Cass St
Monterey, CA 93940-2904
Phone
(831) 233-3143
NPI assigned
Aug 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19172 CA
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 19172 CA Primary

Addresses

Primary practice location

833 Cass St
Monterey, CA 93940-2904

Mailing address

833 Cass St
Monterey, CA 93940-2904
Phone (831) 233-3143

Other practice location 1

550 Wave St Ste 2
Monterey, CA 93940-1478
Phone (831) 375-9555

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19172CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1053543777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402904",
            "telephone_number": "831-233-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402904",
            "telephone_number": "831-233-3143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Wave St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939401478",
            "country_code": "US",
            "telephone_number": "831-375-9555",
            "fax_number": "831-375-9556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHRBOUGH",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19172",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "19172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.