Mary Leslie Rohan, APRN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2244504405 Issued in UT

Practice address

1128 University Cir
Student Service Center 190
Ogden, UT 84408-1128

Phone

(801) 626-6459

Fax

(801) 626-7786

NPI assigned

Jul 16, 2008

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1770747941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 UNIVERSITY CIR",
            "address_2": "STUDENT SERVICE CENTER 190",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844081128",
            "telephone_number": "801-626-6459",
            "fax_number": "801-626-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 UNIVERSITY CIR",
            "address_2": "STUDENT SERVICE CENTER 190",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844081128",
            "telephone_number": "801-626-6459",
            "fax_number": "801-626-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHAN",
        "first_name": "MARY",
        "middle_name": "LESLIE",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "2244504405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000308011",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32481",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998877666002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giovanna Rene Roeseler, CM
• Charles Mitchell Rogers, M.D.
• Christie Bunnell Rogers, DPT
• Daniel P Rogers
• John Rogerson, LCSW
• Lyman Val Rollins, MD
• Samantha Lee Rollins
• Galen Ronnie Romero, CMHC
• Michelle Romero
• Kennedy Romney

• Family Nurse Practitioner in Ogden, UT
• Providers in Ogden, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.