Active NPI
Carol Rocca
- Obstetrics & Gynecology Nurse Practitioner
- Chesterfield, MO
National Provider Identifier
1548449101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- RN105406
- Practice address
- 222 S Woods Mill Rd
Suite 400N
Chesterfield, MO 63017-3625 - Phone
- (314) 878-1866
- NPI assigned
- Oct 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN105406 | MO | Primary |
Addresses
Primary practice location
222 S Woods Mill Rd
Suite 400N
Chesterfield, MO 63017-3625
Mailing address
222 S Woods Mill Rd
Suite 400N
Chesterfield, MO 63017-3625
Phone (314) 878-1866
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN105406 | MO | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1548449101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 S WOODS MILL RD",
"address_2": "SUITE 400N",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173625",
"telephone_number": "314-878-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S WOODS MILL RD",
"address_2": "SUITE 400N",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173625",
"telephone_number": "314-878-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCCA",
"first_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-31",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "MO",
"license": "RN105406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.