Individual provider Active NPI

Jodi Lynn Rozsnaki

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1548173289
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
293008 Issued in NC
Practice address
639 Executive PL Ste 202
Fayetteville, NC 28305-5489
Phone
(910) 319-8180
NPI assigned
Sep 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 293008 NC Primary

Addresses

Primary practice location

639 Executive PL Ste 202
Fayetteville, NC 28305-5489

Mailing address

11 Snowden LN
Cameron, NC 28326-6063
Phone (863) 701-3744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1548173289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SNOWDEN LN",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283266063",
            "telephone_number": "863-701-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 EXECUTIVE PL STE 202",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055489",
            "telephone_number": "910-319-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZSNAKI",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "293008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.