Individual provider Active NPI

Judith Franck Rollar, CRNP

  • Family Nurse Practitioner
  • Bear, DE
National Provider Identifier
1780727990
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000315 Issued in DE
Practice address
4185 Kirkwood St Georges Rd
Bear, DE 19701-2272
Phone
(302) 834-7018
Fax
(302) 836-2520
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000315 DE Primary

Addresses

Primary practice location

4185 Kirkwood St Georges Rd
Bear, DE 19701-2272

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 268-2239

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG-0000315DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay Medical Associates, P.a. Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jrollar136661@direct-guthrie.org

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1780727990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-268-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 KIRKWOOD ST GEORGES RD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012272",
            "telephone_number": "302-834-7018",
            "fax_number": "302-836-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLAR",
        "first_name": "JUDITH",
        "middle_name": "FRANCK",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.