NPI Code Detail JSON Logo

1861210387 NPI number — ROCKI LYNN ELAM NP, CNS, RN

NPI Number: 1861210387
Health Care Provider/Practitioner: ROCKI LYNN ELAM NP, CNS, RN

Information about “1861210387” NPI (ROCKI LYNN ELAM NP, CNS, RN) exists in 1861210387 in HTML format HTML  |  1861210387 in plain Text format TXT  |  1861210387 in PDF (Portable Document Format) PDF  |  1861210387 in an XML format XML  formats.

NPI Number : 1861210387 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861210387",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ELAM",
    "FirstName": "ROCKI",
    "MiddleName": "LYNN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "NP, CNS, RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10503 WILLIAMSVILLE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HANOVER",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23069-1835",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-690-9033",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3500 FETCHET AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JB ANDREWS",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20762-5157",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-690-9033",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/02/2024",
    "LastUpdateDate": "10/02/2024",
    "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": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "0001205025",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "364SA2200X",
          "TaxonomyName": "Adult Health Clinical Nurse Specialist",
          "LicenseNumber": "0024181833",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "364SG0600X",
          "TaxonomyName": "Gerontology Clinical Nurse Specialist",
          "LicenseNumber": "0024181833",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": "0024181833",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.