Mia K Rollyson, RN, MA

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

041-236508 Issued in IL

Practice address

5215 N California Ave # 101
Chicago, IL 60625-7014

Phone

(773) 561-5809

Fax

(773) 561-5946

NPI assigned

Jun 7, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Registered Nurse

State licenses

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1255860870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE # 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257014",
            "telephone_number": "773-561-5809",
            "fax_number": "773-561-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N CALIFORNIA AVE # 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257014",
            "telephone_number": "773-561-5809",
            "fax_number": "773-561-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLYSON",
        "first_name": "MIA",
        "middle_name": "K",
        "credential": "RN, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IL",
            "license": "041-236508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jataun J Rollins, LCSW
• Samantha H Rollins
• Yolanda Rollins
• Ryan Rollinson, LCSW
• Lindsey Rollman
• Jennifer L Rolnick, PSY.D.
• Gregory William Roloff, MD
• Rom Rymer & Associates LTD
• Beth N Rom Rymer, PH.D.
• Savannah Romack

• General Practice Registered Nurse in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.