ANGELA ROLLISSON NP NPI 1679362016

NPI Information

  • NPI: 1679362016
  • Provider Name: ANGELA ROLLISSON, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1885 LUNDY AVE STE 223
    SAN JOSE, CA
    ZIP 95131
  • Phone: (408) 284-9000

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NPI Details

Angela Rollisson, NP is a psychiatric/mental health nurse practitioner in San Jose, CA. Angela Rollisson, NP NPI is 1679362016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1885 LUNDY AVE STE 223
SAN JOSE, CA
ZIP 95131-888
Phone: (408) 284-9000

The NPI 1679362016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2025 and was last updated on 8/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health95034879CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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