Tyson B Rockwell

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

7338418-1701 Issued in UT

Practice address

455 S 500 E
Salt Lake City, UT 84102-2753

Phone

(801) 328-6033

Fax

(435) 328-6027

NPI assigned

Oct 5, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smiths Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Salt Lake City, UT
  • NPI 1336164961
  NPD (past)
• Smith'S Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570233600000",
    "number": "1265073761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CULROSS CIR",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840748166",
            "telephone_number": "435-840-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022753",
            "telephone_number": "801-328-6033",
            "fax_number": "435-328-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWELL",
        "first_name": "TYSON",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-05",
        "last_updated": "2019-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "7338418-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Catherine Rocheville
• Emma Rochlin, MD
• Desiree Rock
• Sara Anne Rock, PA-C
• Marilynn A Rockelman, M.C.
• William Bradford Rockwell, MD
• Rocky Mountain Associated Physicians, P. C.
• Rocky Mountain Care
• Rocky Mountain Care Clinic
• Rocky Mountain Critical Care Associates, Inc

• Athletic Trainer in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Athletic Trainer in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2019; 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.