Jessica Michele Rockswold, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105185 Issued in FL

Practice address

1419 S 6TH St
Macclenny, FL 32063-4624

Phone

(904) 653-1822

Fax

(904) 259-1225

NPI assigned

Nov 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Andres R Villar MD

  • Pediatrics Physician
  • Glen St Mary, FL
  • NPI 1689768772
  NPD (past)

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1619204955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "GLEN ST MARY",
            "state": "FL",
            "postal_code": "320400606",
            "telephone_number": "904-653-1818",
            "fax_number": "904-653-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 S 6TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320634624",
            "telephone_number": "904-653-1822",
            "fax_number": "904-259-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKSWOLD",
        "first_name": "JESSICA",
        "middle_name": "MICHELE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001673300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandice Marie Reynoso, APRN-BC
• Madison Rhoden
• Staci W Riddling, PT
• Keir A Robey
• Mary Robinson, M.D.
• Savannah Jade Rogers
• Margaret L. Romeo, D.M.D.
• Katie Rourke, LMT
• Joseph Samuel Ruis II, ATC, LAT
• Amber Ruise

• Physician Assistant in Macclenny, FL
• Providers in Macclenny, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.