Active NPI
Kirk Rollan
- Registered Nurse
- Huntersville, NC
National Provider Identifier
1093112625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9369496
- Practice address
- 16405 Northcross Dr Ste G2
Huntersville, NC 28078-5005 - Phone
- (704) 550-4954
- NPI assigned
- Nov 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9369496 | PA | Primary |
Addresses
Primary practice location
16405 Northcross Dr Ste G2
Huntersville, NC 28078-5005
Mailing address
16405 Northcross Dr Ste G2
Huntersville, NC 28078-5005
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9369496 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Healthcare | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nursing Care Agency
- Huntersville, NC
- NPI 1316361975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1093112625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16405 NORTHCROSS DR STE G2",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16405 NORTHCROSS DR STE G2",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280785005",
"telephone_number": "704-550-4954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLAN",
"first_name": "KIRK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN9369496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.