Individual provider Active NPI

Vanessa Dianne Rocha, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1821403189
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
708035 Issued in TX
Practice address
2701 S Georgia St
Amarillo, TX 79109-1979
Phone
(806) 351-2000
Fax
(806) 351-2060
NPI assigned
Jun 25, 2014
Last updated
Oct 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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 708035 TX Primary

Addresses

Primary practice location

2701 S Georgia St
Amarillo, TX 79109-1979

Mailing address

2701 S Georgia St
Amarillo, TX 79109-1979
Phone (806) 351-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181110000042 TX Practitioner - Nurse Practitioner 7214281245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
708035TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well Life Family Medicine, P.a. CurrentSince Nov 4, 2019 Accepting new patients
Southwest Neuroscience and Spine Center PA PastSince Apr 1, 2014 Accepting new patients

Locations

11 Medical Dr
Amarillo, TX 79106
Phone (806) 353-6400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1821403189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091979",
            "telephone_number": "806-351-2000",
            "fax_number": "806-351-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091979",
            "telephone_number": "806-351-2000",
            "fax_number": "806-351-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "VANESSA",
        "middle_name": "DIANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "708035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.