Active NPI
Laurie Anne Rockelli, PHD, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Salisbury, MD
National Provider Identifier
1497958136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R093795
- Practice address
- 505 E Main St
Salisbury, MD 21804-5020 - Phone
- (410) 341-3420
- Fax
- (410) 341-3397
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | R093795 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R093795 | MD | Primary |
Addresses
Primary practice location
505 E Main St
Salisbury, MD 21804-5020
Mailing address
540 Riverside Dr
Ste 8
Salisbury, MD 21801-5352
Phone (410) 548-3333
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 609550004 | Medicaid | MD | |
| 609550002 | Medicaid | MD | |
| 609550001 | Medicaid | MD | |
| 410545100 | Medicaid | MD |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R093795 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1497958136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 RIVERSIDE DR",
"address_2": "STE 8",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015352",
"telephone_number": "410-548-3333",
"fax_number": "410-548-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 E MAIN ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045020",
"telephone_number": "410-341-3420",
"fax_number": "410-341-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKELLI",
"first_name": "LAURIE",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "PHD, CRNP-PMH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MD",
"license": "R093795",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R093795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550004",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550002",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "609550001",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410545100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.