Rochelle Grothaus, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60532010 Issued in WA

Practice address

415 Confer Rd
Kalama, WA 98625-9475

Phone

(360) 953-7737

NPI assigned

Jan 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rochelle Randall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1306203062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CONFER RD",
            "city": "KALAMA",
            "state": "WA",
            "postal_code": "986259475",
            "telephone_number": "360-953-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CONFER RD",
            "city": "KALAMA",
            "state": "WA",
            "postal_code": "986259475",
            "telephone_number": "360-953-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHAUS",
        "first_name": "ROCHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60532010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCHELLE",
            "last_name": "RANDALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Lee Blair, RN
• Cowlitz County Fire District 5 (Kalama Fire & Ambulance)
• Mikenzie E Dixon, L.M.P.
• Jerry Ezell Jr., RN
• Michael Falter, D.M.D.
• David Lawrence Hodgson, LMHCA
• Chelsei Gene Jackson-Day, CDPT
• Kalama Pharmacy Inc (Godfreys)
• Kalama School District
• Brenda Kaye Larson, MA

• Registered Nurse in Kalama, WA
• Providers in Kalama, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.