Robert Rossi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8536951-3501 Issued in UT

Practice address

Kaniksu Health Services
6615 Comanche St
Bonners Ferry, ID 83805

Phone

(612) 343-4215

NPI assigned

Jul 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.rossi.p1@direct.kch.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: robert.rossi.1@32745.direct.athenahealth.com

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.

• Boundary Regional Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Priest River, ID
  • NPI 1538447727
  Medicare reassignment
• Boundary Regional Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sandpoint, ID
  • NPI 1316343320
  NPD
• Boundary Regional Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Bonners Ferry, ID
  • NPI 1306883244
  NPD (past)

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1205211786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KANIKSU HEALTH SERVICES",
            "address_2": "6615 COMANCHE ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "83805",
            "telephone_number": "612-343-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KANIKSU HEALTH SERVICES",
            "address_2": "6615 COMANCHE ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "83805",
            "telephone_number": "612-343-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "ROBERT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-24",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8536951-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Andrew Rinella IV IV, NRP
• Riverstone Billing Services Inc
• Rocky Mountain Transportation
• Pamela S Roper, LM
• Hailey J Rose, DO
• Janice Decordova Rudeen
• Lori Anne Sabin, LM, CPM
• Safeway Inc
• Sandpoint Pediatrics LLP
• Kendra Lee Scarlett, LICENSED MIDWIFE

• Clinical Social Worker in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.