Active NPI
Carlee Rozell
- Nurse Practitioner
- Nixa, MO
National Provider Identifier
1225645393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 79704
- Practice address
- 2522 Equine Valley Rd
Nixa, MO 65714-6101 - Phone
- (417) 207-2004
- NPI assigned
- Sep 23, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 79704 | KS | Primary |
Addresses
Primary practice location
2522 Equine Valley Rd
Nixa, MO 65714-6101
Mailing address
12411 W 70TH St
Shawnee, KS 66216-2674
Phone (417) 207-2004
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 |
|---|---|---|---|
| 79704 | KS | MD | Nurse Practitioner |
Interoperability endpoints
- carlee.rozell@449542123749380.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1225645393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12411 W 70TH ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662162674",
"telephone_number": "417-207-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2522 EQUINE VALLEY RD",
"city": "NIXA",
"state": "MO",
"postal_code": "657146101",
"telephone_number": "417-207-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZELL",
"first_name": "CARLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "79704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nixa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.