Active NPI
David Rockmaker, RN
- Registered Nurse
- Minnetonka, MN
National Provider Identifier
1417317439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN35257
- Practice address
- 9701 Data Park
Minnetonka, MN 55343-9026 - Phone
- (952) 251-4066
- Fax
- (888) 869-5142
- NPI assigned
- Mar 3, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN35257 | NV | Primary |
Addresses
Primary practice location
9701 Data Park
Minnetonka, MN 55343-9026
Mailing address
9701 Data Park
Minnetonka, MN 55343-9026
Phone (952) 251-4066
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN35257 | NV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1417317439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 DATA PARK",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439026",
"telephone_number": "952-251-4066",
"fax_number": "888-869-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 DATA PARK",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439026",
"telephone_number": "952-251-4066",
"fax_number": "888-869-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKMAKER",
"first_name": "DAVID",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-03",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN35257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.