Organization Active NPI

Rockwood Clinic

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1841628070
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP60386230 Issued in WA
Legal business name
ROCKWOOD CLINIC
Practice address
910 W 5TH Ave Ste 300
Spokane, WA 99204-2972
Phone
(509) 838-2531
Fax
(509) 755-6580
NPI assigned
Oct 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Sarrah Glennie
Title
Credentialing Manager
Phone
(509) 342-3758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X ARNP60386230 WA Primary

Addresses

Primary practice location

910 W 5TH Ave Ste 300
Spokane, WA 99204-2972

Mailing address

PO Box 3649
Spokane, WA 99220-3649

National Provider Directory

National Provider Directory
Tax ID family
Rockwood Valley Surgery Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1841628070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3649",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W 5TH AVE STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042972",
            "telephone_number": "509-838-2531",
            "fax_number": "509-755-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWOOD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "GLENNIE",
        "authorized_official_first_name": "SARRAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "509-342-3758"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "ARNP60386230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.