Individual provider Active NPI

Laurie E Roselli, CRNP

  • Critical Care Neonatal Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1790761112
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
NP13933 Issued in CA
Practice address
2315 Stockton Blvd
Davis 5 Intensive Care Nursery
Sacramento, CA 95817-2201
Phone
(916) 703-3050
NPI assigned
Dec 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X NP13933 CA Primary

Addresses

Primary practice location

2315 Stockton Blvd
Davis 5 Intensive Care Nursery
Sacramento, CA 95817-2201

Mailing address

730 Hardwick Dr
Aurora, OH 44202-7002
Phone (916) 759-2534

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

NPI Registry JSON

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

{
    "created_epoch": "1134777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1790761112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HARDWICK DR",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442027002",
            "telephone_number": "916-759-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "DAVIS 5 INTENSIVE CARE NURSERY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-703-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLI",
        "first_name": "LAURIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-17",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "CA",
            "license": "NP13933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.