Active NPI
Angela Lynn Rockwood
- Behavior Technician
- Idaho Falls, ID
National Provider Identifier
1891561189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- LSW-28561
- Practice address
- 3857 Deer Run Dr
Idaho Falls, ID 83401-6801 - Phone
- (208) 520-5086
- NPI assigned
- Nov 28, 2023
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | LSW-28561 | ID | Primary |
Addresses
Primary practice location
3857 Deer Run Dr
Idaho Falls, ID 83401-6801
Mailing address
3857 Deer Run Dr
Idaho Falls, ID 83401-6801
Phone (208) 520-5086
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW-28561 | ID | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1891561189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3857 DEER RUN DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834016801",
"telephone_number": "208-520-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3857 DEER RUN DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834016801",
"telephone_number": "208-520-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKWOOD",
"first_name": "ANGELA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-28",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "ID",
"license": "LSW-28561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
- Matthew Robison, DO
- Steven W Robison, MD
- Talia Robles, PTA
- Rocco P. Cifrese, MD and Sara a. Cifrese, MD PA
- Penney Ann Rockhill, LCPC
- Rocky Mountain Artificial Limb & Brace, Inc
- Rocky Mountain Diabetes and Osteoporosis Center PA
- Rocky Mountain Diabetes and Osteoporosis Center, PA
- Rocky Mountain Holdings, LLC
- Rocky Mountain Holdings, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.