Holly Lynn Rozeboom, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001057 Issued in IA

Practice address

801 5TH St
Sioux City, IA 51101-1394

Phone

(712) 239-4702

Fax

(712) 239-0616

NPI assigned

Jun 9, 2006

Last updated

Jun 22, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Cardiovascular Associates PC

  • Cardiovascular Disease Physician
  • Sioux City, IA
  • NPI 1043284094
  NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1942241989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3128",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511023128",
            "telephone_number": "712-239-4702",
            "fax_number": "712-239-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 5TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011394",
            "telephone_number": "712-239-4702",
            "fax_number": "712-239-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZEBOOM",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Rosenquist, MS, CCC-SLP
• Kimberly K Ross-Swancutt
• Kay Ross
• Paige Rotnicke
• Anukul Roy, MD
• Ryan Rudloff, OD
• Mary M Ruhland, LISW
• Gabriel Timothy Ruiz
• Rex W Rundquist, MD
• Avianna Rupp

• Medical Physician Assistant in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.