Active NPI
Genevieve D Rohan, F.N.P.
- Family Nurse Practitioner
- Fresno, CA
National Provider Identifier
1154465383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP9873
- Practice address
- 2490 W Shaw Ave
Suite 101
Fresno, CA 93711-3305 - Phone
- (559) 226-5683
- Fax
- (559) 226-1028
- NPI assigned
- Feb 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN365714 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP9873 | CA | Primary |
Addresses
Primary practice location
2490 W Shaw Ave
Suite 101
Fresno, CA 93711-3305
Mailing address
2490 W Shaw Ave
Suite 101
Fresno, CA 93711-3305
Phone (559) 226-5683
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN365714 | CA | MD | Registered Nurse |
| NP9873 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Providers Medical Group Inc | Past | Accepting new patients | |
| Hinds Hospice | Past | Accepting new patients | |
| Hinds Hospice | Past | Accepting new patients | |
| Central California Faculty Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Clovis, CA
- NPI 1992742852
-
- Family Medicine Physician
- Fresno, CA
- NPI 1821075748
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1477873115
-
- Community Based Hospice Care Agency
- Fresno, CA
- NPI 1538143318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1154465383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 W SHAW AVE",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113305",
"telephone_number": "559-226-5683",
"fax_number": "559-226-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 W SHAW AVE",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113305",
"telephone_number": "559-226-5683",
"fax_number": "559-226-1028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHAN",
"first_name": "GENEVIEVE",
"middle_name": "D",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN365714",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP9873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.