VICKI LYNN ROFF (NPI# 1962725960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962725960 |
| Entity Type | Organization |
| Organization Name | VICKI LYNN ROFF |
| Other Organization Name | NORTHWEST C&TC CLINIC |
| Practice Address |
1231 5th Street Nw Bemidji MN 56601 |
| Mailing Address |
6248 Balsam Rd Nw Bemidji MN 56601-7728 |
| Practice Telephone | 2187513196 |
| Practice Fax Number | 2187591171 |
| Mailing Telephone | 2187510674 |
| Mailing Fax Number | 2187591715 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-16 |
| Authorized Official Name | DR. JOHN PARKIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2183335000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
R 124141-5 | MN | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Northwest C&TC Clinic | Doing Business As Name - Organization |
| Street Address |
1231 5TH STREET NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975419 | Shayna Hamiel | Registered Nurse | 2117 Pine Ridge Rd S, Mora, MN 55051-6821 | 2020-06-04 |
| 1689298309 | Bonita Perrine | Registered Nurse | 135 Hatinen Rd, Esko, MN 55733-9525 | 2020-05-29 |
| 1780207738 | Morgan Andrea Abens | Registered Nurse | 10101 Bren Rd E Unit 412, Eden Prairie, MN 55343-0059 | 2020-05-26 |
| 1659994648 | Andree Wilson-nixa | Registered Nurse | 15203 Maryland Ave, Savage, MN 55378-1386 | 2020-05-25 |
| 1992328314 | Amanda M Totenberg | Registered Nurse | 5320 47th Ave S, Minneapolis, MN 55417-2314 | 2020-05-20 |
| 1568092161 | Meredith Doran | Registered Nurse | 4155 30th Ave S, Minneapolis, MN 55406-3129 | 2020-01-22 |
| 1194289389 | Shanna Miko | Registered Nurse | 4655 Yellowstone Ln N, Plymouth, MN 55446-3764 | 2019-01-22 |
| 1720052343 | Carolyn Marie Veglia Young | Registered Nurse | 2525 Chicago Avenue South, Children's Hospitals and Clinic of Minnesota, Minneapolis, MN 55404 | 2006-02-13 |
| 1376516831 | Lee Ann Hertzog Donovan | Registered Nurse | 250 N Central Ave, #101, Wayzata, MN 55391 | 2006-02-07 |
| 1063485514 | Kelly Ann Boie | Registered Nurse | 14001 Ridgedale Dr, Ste 100, Minnetonka, MN 55305-1781 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
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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.