Active NPI
Kelsey Rollins
- Attendant Care Provider
- Monroe, OR
National Provider Identifier
1124533161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 2497428
- Practice address
- 610 Dragon Dr
Monroe, OR 97456-9604 - Phone
- (541) 766-6000
- Fax
- (541) 766-6047
- NPI assigned
- Dec 13, 2017
- Last updated
- Dec 13, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 2497428 | OR | Primary |
Addresses
Primary practice location
610 Dragon Dr
Monroe, OR 97456-9604
Mailing address
530 NW 27TH St
Corvallis, OR 97330-5223
Phone (541) 766-6835
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 |
|---|---|---|---|
| 2497428 | OR | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513123200000",
"number": "1124533161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 NW 27TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973305223",
"telephone_number": "541-766-6835",
"fax_number": "541-766-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 DRAGON DR",
"city": "MONROE",
"state": "OR",
"postal_code": "974569604",
"telephone_number": "541-766-6000",
"fax_number": "541-766-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINS",
"first_name": "KELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-13",
"last_updated": "2017-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "OR",
"license": "2497428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.