1497239933 NPI number — VANESSA ROSE ROGICH DNP, APNP, FNP-C

NPI Number: 1497239933
Health Care Provider/Practitioner: VANESSA ROSE ROGICH DNP, APNP, FNP-C

NPI Number : 1497239933 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497239933",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROGICH",
    "FirstName": "VANESSA",
    "MiddleName": "ROSE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DNP, APNP, FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RUD",
    "OtherFirstName": "VANESSA",
    "OtherMiddleName": "ROSE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "200 1ST ST SW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCHESTER",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55905-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-785-0940",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "325 BUTTS AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TOMAH",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54660-1412",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-392-5000",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/20/2018",
    "LastUpdateDate": "04/25/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "14397",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "14397",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "241597",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}