Individual provider Active NPI

Gregory Joseph Rocklage, RNFA

  • Registered Nurse First Assistant
  • Saint Charles, MO
National Provider Identifier
1720350366
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
152552 Issued in MO
Practice address
405 Savannah Ridge Dr
Saint Charles, MO 63303-2918
Phone
(636) 244-0704
Fax
(636) 244-0704
NPI assigned
Jan 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 152552 MO Primary

Addresses

Primary practice location

405 Savannah Ridge Dr
Saint Charles, MO 63303-2918

Mailing address

405 Savannah Ridge Dr
Saint Charles, MO 63303-2918
Phone (636) 244-0704

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

State licenses

LicenseStateTypeSpecialty
152552MOMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis First Assistants,LLC Registered Nurse First Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1327708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327708800000",
    "number": "1720350366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SAVANNAH RIDGE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032918",
            "telephone_number": "636-244-0704",
            "fax_number": "636-244-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SAVANNAH RIDGE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032918",
            "telephone_number": "636-244-0704",
            "fax_number": "636-244-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKLAGE",
        "first_name": "GREGORY",
        "middle_name": "JOSEPH",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-28",
        "last_updated": "2012-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "152552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.