Rosanna Marie Marrocco, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704219794 Issued in MI

Practice address

1777 Axtell Dr Ste 202
Troy, MI 48084-4435

Phone

(248) 594-3142

NPI assigned

Apr 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rosanna Maddox Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: rmaddox80860@direct.beaumont.edu

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1780901439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR STE 202",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844435",
            "telephone_number": "248-594-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARROCCO",
        "first_name": "ROSANNA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704219794",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704219794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmaddox80860@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "1777 Axtell Dr Ste 202",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480844435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROSANNA",
            "last_name": "MADDOX",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Marie Maroulitsas, CRNA
• Linda M Marques, OTR/L
• Bienvenido Basilio Marquez, M.D.
• Alliyah Marriot
• Lisa Frances Marrocca, PH.D.
• Kevin Mahdi Marshall
• Darlene B Marsich-Douglas, CRNA
• Virginia Aragona Marsico
• Francesca Martella
• Cecilia Martin, CNM

• Pediatric Nurse Practitioner in Troy, MI
• Providers in Troy, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.