Individual provider Active NPI

Rosemarie Bakshis, RN,CRRN,CLCP

  • Case Manager/Care Coordinator
  • Tarpon Springs, FL
National Provider Identifier
1689816456
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
RN 1981062 Issued in FL
Practice address
489 Waterford Cir E
Tarpon Springs, FL 34688-7206
Phone
(727) 947-7703
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X RN 1981062 FL Primary

Addresses

Primary practice location

489 Waterford Cir E
Tarpon Springs, FL 34688-7206

Mailing address

489 Waterford Cir E
Tarpon Springs, FL 34688-7206
Phone (727) 947-7703

Other identifiers 1

IdentifierTypeStateIssuer
693343279MedicaidFL

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 1981062FLMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1689816456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WATERFORD CIR E",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887206",
            "telephone_number": "727-947-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 WATERFORD CIR E",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887206",
            "telephone_number": "727-947-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKSHIS",
        "first_name": "ROSEMARIE",
        "name_prefix": "Ms.",
        "credential": "RN,CRRN,CLCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "RN 1981062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693343279",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.