Individual provider Active NPI

Denise Ann Rocklin, MSN

  • Long-Term Care Clinical Nurse Specialist
  • Cincinnati, OH
National Provider Identifier
1053647883
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X
License
COA.04696-NS Issued in OH
Practice address
235 Hillcrest Dr
375 Dixmyth Avenue
Cincinnati, OH 45215-2609
Phone
(513) 761-7316
NPI assigned
Oct 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long-Term Care Clinical Nurse Specialist 364SL0600X COA.04696-NS OH Primary

Addresses

Primary practice location

235 Hillcrest Dr
375 Dixmyth Avenue
Cincinnati, OH 45215-2609

Mailing address

235 Hillcrest Dr
Cincinnati, OH 45215-2609
Phone (513) 761-7316

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 Nurse Practitioner, Certified Nurse Specialist, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
COA.04696-NSOHMDLong-Term Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodman Lostutter LLC Past Accepting new patients
Good Samaritan Hospital Past Accepting new patients
Susan a. Martin NP LLC PastSince Dec 12, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1053647883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HILLCREST DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152609",
            "telephone_number": "513-761-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HILLCREST DR",
            "address_2": "375 DIXMYTH AVENUE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152609",
            "telephone_number": "513-761-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKLIN",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "OH",
            "license": "COA.04696-NS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.