Michael Theodore Edward Rossini III, BSN, RN, PHN, NREMT

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95199968 Issued in CA

Practice address

3700 Nevil St
Oakland, CA 94601-3820

Phone

(510) 417-6162

NPI assigned

Jun 17, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1194456442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 NEVIL ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013820",
            "telephone_number": "510-417-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 NEVIL ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013820",
            "telephone_number": "510-417-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSINI",
        "first_name": "MICHAEL",
        "middle_name": "THEODORE EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "BSN, RN, PHN, NREMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E103783",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95199968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merry Ross
• Phillip Leon Ross, MD
• Aaron Rosselle, D.C.
• Emily Rossi
• Gladys Maria Rossi
• Phoebe Rossiter, RN, PHN
• Alex Rossman, LCSW
• Lorca Rossman, MD
• Stephanie Rosso, PHD
• Skylar Callum Rossy, ACSW, PPSC

• Registered Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.