Active NPI
Nicholas Charles Edward Rohde
- Independent Duty Corpsman
- Virginia Beach, VA
National Provider Identifier
1346659570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 4946 Juno Rd
Virginia Beach, VA 23455-2244 - Phone
- (715) 330-8342
- NPI assigned
- Aug 13, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
4946 Juno Rd
Virginia Beach, VA 23455-2244
Mailing address
4946 Juno Rd
Virginia Beach, VA 23455-2244
Phone (715) 330-8342
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1346659570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4946 JUNO RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234552244",
"telephone_number": "715-330-8342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4946 JUNO RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234552244",
"telephone_number": "715-330-8342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROHDE",
"first_name": "NICHOLAS",
"middle_name": "CHARLES EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-13",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.