Stacey Lynn Rokusek

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019709 Issued in IL

Practice address

951 Essington Rd
Joliet, IL 60435-8439

Phone

(815) 744-4551

Fax

(815) 744-4756

NPI assigned

Oct 11, 2019

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1396387247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358439",
            "telephone_number": "815-744-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358439",
            "telephone_number": "815-744-4551",
            "fax_number": "815-744-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROKUSEK",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "209019709",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Roechner I, MHS, CCC-SLP
• Stacey Rogers
• Joshua Rogoz, CADC
• Ruth L. Rohan, L.C.P.C.
• Laarnie Rojas
• Augustine Roland, MD
• Joyce Rollins
• Dawn Carroll Roman, PA-C
• Elzbieta Romanowski, CRNA
• Rooted in Strength LLC

• Family Nurse Practitioner in Joliet, IL
• Providers in Joliet, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.