LISA RENEE ROLFES (NPI# 1851810212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851810212 |
| Entity Type | Individual |
| Full Name | LISA RENEE ROLFES |
| Credential | RN, NP |
| Practice Address |
506 S Main St Rockford OH 45882-9228 |
| Practice Telephone | 4193633008 |
| Mailing Telephone | 4197337303 |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP021903 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CNP LICENSE | NP021903 | 01 |
| Street Address |
506 S MAIN ST |
| City | ROCKFORD |
| State | OH |
| Zip Code | 45882-9228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730183591 | Jerry D Sell | Family Medicine | 506 S Main St, Rockford, OH 45882-9228 | 2005-06-09 |
| 1740704857 | Benjamin Keith Gudorf | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2017-07-31 |
| 1053454314 | Van Wert Medical Services | Specialist | 506 S Main St, Rockford, OH 45882-9228 | 2007-02-15 |
| 1275537045 | Rona M. Dellinger | Nurse Practitioner | 506 S Main St, Rockford, OH 45882-9228 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366531444 | John K Granger | Dentist | 160 E Walnut St, Rockford, OH 45882-0314 | 2006-10-12 |
| 1205881661 | The Laurels of Rockford, Inc. | Nursing Facility/Intermediate Care Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-05-24 |
| 1376144782 | Shane Hill Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 10731 State Route 118, Rockford, OH 45882-8947 | 2020-11-03 |
| 1952483455 | The Laurels of Rockford, Inc. | Durable Medical Equipment & Medical Supplies | 10731 State Route 118, Rockford, OH 45882-8947 | 2006-10-20 |
| 1740600964 | Matt Dapore | Nursing Home Administrator | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-04-28 |
| 1811015951 | Healthcare Management Counsultants, Inc | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2007-03-27 |
| 1417369760 | Colonial Healthcare LLC | Skilled Nursing Facility | 203 Buckeye St, Rockford, OH 45882-9266 | 2014-05-21 |
| 1134421456 | Rockford Healthcare Group, Inc. | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2010-11-18 |
| 1679706642 | Parkway Local Schools | Local Education Agency (LEA) | 400 Buckeye St, Rockford, OH 45882-9267 | 2009-08-25 |
| 1154720407 | Tara May | Occupational Therapy Assistant | 400 Buckeye St, Rockford, OH 45882-9267 | 2014-08-21 |
| Find all providers in zip 45882 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138481 | Kelly Ann Twigg | Nurse Practitioner | 5669 Shelley Rd, Rockford, OH 45882-9577 | 2020-09-14 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1124632922 | Catherine Nwosu | Nurse Practitioner | 3455 Holiday Dr Apt 10, Rockford, IL 61109-2489 | 2020-08-31 |
| 1790314631 | Toni A Hughart | Nurse Practitioner | 6000 E State St, Rockford, IL 61108-2521 | 2020-04-03 |
| 1578199220 | Keli S Griseta | Nurse Practitioner | 3505 N Bell School Rd, Rockford, IL 61114-6624 | 2020-03-13 |
| 1457986069 | Nicole P Falatic | Nurse Practitioner | 153 Glen Eagle Dr Ne, Rockford, MI 49341-1183 | 2020-03-04 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1487110540 | Karrie Hagger | Nurse Practitioner | 7476 Countryshire Ln, Rockford, IL 61107-2774 | 2019-02-13 |
| 1336652700 | Stacey Jo Caler | Nurse Practitioner | 363 Financial Ct Unit 300, Rockford, IL 61107-6671 | 2017-11-08 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.