Individual provider Active NPI

Roshni Patel, CPNP-PC

  • Pediatric Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1083956940
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP123059 Issued in TX
Practice address
1861 SH 276
Rockwall, TX 75032-2569
Phone
(972) 722-4992
Fax
(972) 722-4995
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 768719 TX
Pediatric Nurse Practitioner 363LP0200X AP123059 TX Primary

Addresses

Primary practice location

1861 SH 276
Rockwall, TX 75032-2569

Mailing address

1861 SH 276
Rockwall, TX 75032-2569
Phone (972) 722-4992

Other practice location 1

1446 W Moore Ave Ste 206
Terrell, TX 75160-2372
Phone (972) 210-7350

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
768719TXMDPediatric Registered Nurse
AP123059TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Plum Pediatrics PLLC Current Accepting new patients
Pediatric Depot PLLC Current Accepting new patients
Pear Pediatrics PLLC Current Accepting new patients

Locations

1861 State Highway 276
Rockwall, TX 75032
Phone (972) 722-4992

270 S Collins Rd
Ste 300
Sunnyvale, TX 75182
Phone (469) 864-7586

1446 W Moore Ave
Ste 206
Terrell, TX 75160
Phone (972) 210-7350

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": "1363651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1083956940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 SH 276",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750322569",
            "telephone_number": "972-722-4992",
            "fax_number": "972-722-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 SH 276",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750322569",
            "telephone_number": "972-722-4992",
            "fax_number": "972-722-4995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1446 W Moore Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Terrell",
            "state": "TX",
            "postal_code": "751602372",
            "country_code": "US",
            "telephone_number": "972-210-7350",
            "fax_number": "972-210-7355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ROSHNI",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "768719",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP123059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.