Connie R. Rolison, W.H.N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

R852304 Issued in MS

Practice address

4577 13TH St
Gulfport, MS 39501-2516

Phone

(228) 864-2752

Fax

(228) 214-4206

NPI assigned

Sep 21, 2006

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1750480307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012516",
            "telephone_number": "228-864-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012516",
            "telephone_number": "228-864-2752",
            "fax_number": "228-214-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLISON",
        "first_name": "CONNIE",
        "middle_name": "R.",
        "credential": "W.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MS",
            "license": "R852304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125772",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Rogers, PHARMD
• Laura Rogers
• Taylor Brewer Rogers, DO
• Taytum Rogers
• Jordan Roland, LCSW
• Alison Rollinson
• Mary Jane Romero
• Stephanie D Romero, CFNP
• Richard A Roque, IDC
• James Lawrence Rose II, MD

• Women's Health Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Women's Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.