Individual provider Active NPI

Sondra G. Rolater, RN, FNP

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1598739351
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP110346 Issued in TX
Practice address
2904 N. 4TH Suite
Suite 101a
Longview, TX 75605
Phone
(903) 452-8638
Fax
(903) 452-8638
NPI assigned
Feb 16, 2006
Last updated
Jan 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP110346 TX Primary

Addresses

Primary practice location

2904 N. 4TH Suite
Suite 101a
Longview, TX 75605

Mailing address

716 County Road 4555
Winnsboro, TX 75494
Phone (903) 452-8638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190222002170 TX Order and Referring Only - Nurse Practitioner 4789574641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Clinic of Longview PA Past Accepting new patients
Regional Clinics of Longview Past Accepting new patients
Dallas County Hospital District Family Past Accepting new patients
Vickery Health Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1598739351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 COUNTY ROAD 4555",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "75494",
            "telephone_number": "903-452-8638",
            "fax_number": "903-629-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 N. 4TH SUITE",
            "address_2": "SUITE 101A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75605",
            "telephone_number": "903-452-8638",
            "fax_number": "903-452-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLATER",
        "first_name": "SONDRA",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP110346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.