Individual provider Active NPI

Rokia Weatherspoon, ED.S.

  • School Psychologist
  • Columbus, OH
National Provider Identifier
1902451164
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
21174760 Issued in OH
Practice address
2177 Mock Rd
Columbus, OH 43219-1258
Phone
(567) 312-8700
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 270700 OH
School Psychologist 103TS0200X 21174760 OH Primary

Addresses

Primary practice location

2177 Mock Rd
Columbus, OH 43219-1258

Mailing address

540 Officenter PL Ste 160
Gahanna, OH 43230-5351
Phone (614) 664-3595

Other practice location 1

540 Officenter Pl Ste 160
Gahanna, OH 43230-5351
Phone (614) 664-3595

Other names 1

  • Rokia Tanner Former name

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

LicenseStateTypeSpecialty
21174760OHMDSchool Psychologist
270700OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Providers for Healthy Living PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1902451164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 OFFICENTER PL STE 160",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432305351",
            "telephone_number": "614-664-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 MOCK RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191258",
            "telephone_number": "567-312-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Officenter Pl Ste 160",
            "address_purpose": "LOCATION",
            "city": "Gahanna",
            "state": "OH",
            "postal_code": "432305351",
            "country_code": "US",
            "telephone_number": "614-664-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERSPOON",
        "first_name": "ROKIA",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "270700",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "21174760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROKIA",
            "last_name": "TANNER",
            "credential": "ED.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.