Nichola Elena Joubert-Rockett, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

77441 Issued in KS

Practice address

12200 W 110TH St
Overland Park, KS 66210-4045

Phone

(913) 574-2650

Fax

(913) 574-2769

NPI assigned

Nov 9, 2016

Last updated

Dec 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Nichola Elena Joubert Former name

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: nichola.joubert-rockett.1@33202.direct.athenahealth.com
• Direct secure messaging: njrockett@landmarkhealth-direct.org

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1881136794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 CORPORATE AVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191374",
            "telephone_number": "913-574-2800",
            "fax_number": "913-574-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662104045",
            "telephone_number": "913-574-2650",
            "fax_number": "913-574-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUBERT-ROCKETT",
        "first_name": "NICHOLA",
        "middle_name": "ELENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "77441",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "113352",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2009017318",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881136794",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201145700A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLA",
            "last_name": "JOUBERT",
            "middle_name": "ELENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Acute Care Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Acute Care Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.