Individual provider Active NPI

Julie Lee Roskamp, RN, CWOCN

  • Wound Care Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1083312839
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
1142912 Issued in MN
Practice address
2240 Drew Ave S
Minneapolis, MN 55416-3646
Phone
(952) 985-0747
Fax
(952) 400-5621
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ostomy Care Registered Nurse 163WX1500X 1142912 MN
Wound Care Registered Nurse 163WW0000X 1142912 MN Primary

Addresses

Primary practice location

2240 Drew Ave S
Minneapolis, MN 55416-3646

Mailing address

9483 208TH St W
Lakeville, MN 55044-8893
Phone (612) 850-1326

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1142912MNMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Company Provider Group, Inc. Wound Care Current Accepting new patients
Roskamp Consulting Services, Inc Wound Care PastSince Feb 26, 2023 Accepting new patients

Organizations & group practices 2

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": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1083312839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9483 208TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448893",
            "telephone_number": "612-850-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 DREW AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554163646",
            "telephone_number": "952-985-0747",
            "fax_number": "952-400-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKAMP",
        "first_name": "JULIE",
        "middle_name": "LEE",
        "credential": "RN, CWOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "MN",
            "license": "1142912",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MN",
            "license": "1142912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.