Active NPI
Sherrill J Roskam, NNP
- Neonatal Intensive Care Registered Nurse
- Vancouver, WA
National Provider Identifier
1194762641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Intensive Care Registered Nurse
- License
- RN00068824
- Practice address
- 400 NE Mother Joseph PL
Vancouver, WA 98664 - Phone
- (360) 256-2000
- NPI assigned
- Jun 1, 2006
- 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 |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | RN00068824 | WA | Primary |
| Neonatal Intensive Care Registered Nurse | 163WN0002X | AP0006832 | WA |
Addresses
Primary practice location
400 NE Mother Joseph PL
Vancouver, WA 98664
Mailing address
PO Box 1600
Vancouver, WA 98668-1600
Phone (360) 514-4009
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 |
|---|---|---|---|
| AP0006832 | WA | MD | Neonatal Intensive Care Registered Nurse |
| RN00068824 | WA | MD | Neonatal Intensive Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194762641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1600",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986681600",
"telephone_number": "360-514-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NE MOTHER JOSEPH PL",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98664",
"telephone_number": "360-256-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSKAM",
"first_name": "SHERRILL",
"middle_name": "J",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "WA",
"license": "RN00068824",
"primary": true
},
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "WA",
"license": "AP0006832",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.