Sally K Roper, ARNP,FNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

A091039 Issued in IA

Practice address

910 N Eisenhower Ave
Mason City, IA 50401-1525

Phone

(641) 421-8077

Fax

(515) 699-5761

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Sally K Kennedy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mayo Clinic Health System-Southeast Minnesota Region

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  • NPI 1699597468
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538100342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TIMBERLANE DR",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281164",
            "telephone_number": "641-421-8077",
            "fax_number": "515-699-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011525",
            "telephone_number": "641-421-8077",
            "fax_number": "515-699-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPER",
        "first_name": "SALLY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "ARNP,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "A091039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "KENNEDY",
            "middle_name": "K",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nikki Ann Riley, CRNA
• Katie Roderick, LMSW
• Sandra Rohr, ARNP
• Jezanna Rooney, ARNP
• Roots Nutrition Counseling Inc.
• Jeffrey K Rowe, M.D.
• David A Ruen, MD
• Myranda Runneberg
• Craig Phillip Runyan, PHARMD
• Kyle William Ryan, PA

• Registered Nurse in Mason City, IA
• Providers in Mason City, IA by specialty
• Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.