Theresa Ann Rockwell, ADULT NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

COA.12839-NP Issued in OH

Practice address

14121 Parke Long CT Ste 201
Suite No. 1080
Chantilly, VA 20151-1647

Phone

(855) 247-1940

Fax

(844) 379-5385

NPI assigned

Oct 23, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1316290752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14121 PARKE LONG CT STE 201",
            "address_2": "SUITE NO. 1080",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511647",
            "telephone_number": "855-247-1940",
            "fax_number": "844-379-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14121 PARKE LONG CT STE 201",
            "address_2": "SUITE NO. 1080",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511647",
            "telephone_number": "855-247-1940",
            "fax_number": "844-379-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWELL",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "credential": "ADULT NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.12839-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Robertson, LPC, NCC
• Nicole Danielle Robertson, PHARM D
• Amy Baines Robinson, MSW, LCSW
• David Scott Robinson, M.D.
• Kendall Robinson, ATC, MS
• Geraldine Maria Rodriguez, LPC
• Peri Nabih Rogers, LPC
• John Roland, BCBA, LBA
• Rolando Reyes Rodriguez, DMD, P.C.
• Xiuchang Rong

• Adult Health Nurse Practitioner in Chantilly, VA
• Providers in Chantilly, VA by specialty
• Adult Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.