Active NPI
Laurie E Roselli, CRNP
- Critical Care Neonatal Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1790761112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- NP13933
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.