Active NPI
Roberta Rowland, DPM
- Podiatrist
- Phoenix, AZ
National Provider Identifier
1568459139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 225
- Practice address
- 1930 W Thunderbird Rd
Suite 104
Phoenix, AZ 85023-6369 - Phone
- (602) 938-3338
- Fax
- (602) 938-7343
- NPI assigned
- Sep 29, 2005
- Last updated
- Mar 20, 2012
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 225 | AZ | Primary |
Addresses
Primary practice location
1930 W Thunderbird Rd
Suite 104
Phoenix, AZ 85023-6369
Mailing address
1930 E Thunderbird Rd
Suite 104
Phoenix, AZ 85023
Phone (602) 938-3338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0193280 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 701046 | Medicaid | AZ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1568459139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 E THUNDERBIRD RD",
"address_2": "SUITE 104",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85023",
"telephone_number": "602-938-3338",
"fax_number": "602-938-7343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 W THUNDERBIRD RD",
"address_2": "SUITE 104",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850236369",
"telephone_number": "602-938-3338",
"fax_number": "602-938-7343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWLAND",
"first_name": "ROBERTA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "225",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0193280",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "701046",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.