Vicki Lynn Roff

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

R 124141-5 Issued in MN

Legal business name

VICKI LYNN ROFF

Doing business as

Northwest C&TC Clinic

Practice address

1231 5TH Street NW
Bemidji, MN 56601

Phone

(218) 751-3196

Fax

(218) 759-1171

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John Parkin, M.D.

Title

Medical Director

Phone

(218) 333-5000

Specialties & licenses 1

Addresses

Other names 1

• Northwest C&TC Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vicki Lynn Roff, RN, MS, PHN

  • Community Health Registered Nurse
  • Bemidji, MN
  • NPI 1558691238
  NPD (past)

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1962725960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6248 BALSAM RD NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566017728",
            "telephone_number": "218-751-0674",
            "fax_number": "218-759-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 5TH STREET NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "56601",
            "telephone_number": "218-751-3196",
            "fax_number": "218-759-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKI LYNN ROFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "PARKIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "218-333-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MN",
            "license": "R 124141-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest C&TC Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tempest Varner, MD
• Elice Leanne Varney
• McKenzie Kyle Verbout, DDS
• Gwen Marie Verchota, FNP
• Marina Jennifer Verke, RN
• Hannah Moussa Vines, MD
• Vision Optical Inc
• Vitality Chiropractic P.a.
• Bryna Vonholdt, FNP
• Voyageurs Expeditionary School

• Pediatric Registered Nurse in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Pediatric Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.