Dirk E Roots, APRN - PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP07063 Issued in LA

Practice address

409 N 7TH St
Suite 3
West Monroe, LA 71291-4156

Phone

(318) 322-8462

NPI assigned

Sep 13, 2012

Sex

Male

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

• Dirk Elwyn Roots Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361577600000",
    "number": "1407106743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N 7TH ST",
            "address_2": "SUITE 3",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N 7TH ST",
            "address_2": "SUITE 3",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914156",
            "telephone_number": "318-322-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOTS",
        "first_name": "DIRK",
        "middle_name": "E",
        "credential": "APRN - PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2013-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP07063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIRK",
            "last_name": "ROOTS",
            "middle_name": "ELWYN",
            "credential": "APRN, PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shade Chantel Rodriguez, CIT
• Judy S Rogers, FNPC
• Laura Grace Rogers
• Ronald F Hammett MD, LLC
• Ronald F Hammett, MD, LLC
• Rosales Children'S Clinic
• Cymantha Rosales, C.-P.N.P.
• Joaquin Patricio Rosales Jr., MD
• Ross Medical Office, Apmc
• Chelsea Danielle Ross

• Psychiatric/Mental Health Nurse Practitioner in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2013; 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.