Organization Active NPI

Rockford Family Planning Foundation

  • Complex Family Planning Physician
  • Rockford, IL
National Provider Identifier
1538865241
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Complex Family Planning PhysicianTaxonomy code 207VC0300X
Legal business name
ROCKFORD FAMILY PLANNING FOUNDATION
Practice address
4236 Maray Dr
Rockford, IL 61107-4964
Phone
(779) 500-0791
NPI assigned
Feb 3, 2023
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Jeanne Bissell
Title
President
Phone
(608) 345-2588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Complex Family Planning Physician 207VC0300X NU Primary

Addresses

Primary practice location

4236 Maray Dr
Rockford, IL 61107-4964

Mailing address

PO Box 44007
Madison, WI 53744-4007
Phone (608) 345-2258

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2319156Rockford Family Planning Foundation4236 Maray Dr, Rockford, IL 61107Certificate of waiverFeb 24, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1538865241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44007",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537444007",
            "telephone_number": "608-345-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 MARAY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074964",
            "telephone_number": "779-500-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD FAMILY PLANNING FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "BISSELL",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-345-2588"
    },
    "taxonomies": [
        {
            "code": "207VC0300X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Complex Family Planning",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.