Active NPI
Roseann M Chernek, R.N.F.A.
- Registered Nurse First Assistant
- Westerville, OH
National Provider Identifier
1003813163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN146908
- Practice address
- 955 Eastwind Dr
Westerville, OH 43081-3376 - Phone
- (614) 268-9561
- Fax
- (614) 268-7849
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN146908 | OH | Primary |
Addresses
Primary practice location
955 Eastwind Dr
Westerville, OH 43081-3376
Mailing address
955 Eastwind Dr
Westerville, OH 43081-3376
Phone (614) 268-9561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000337078 | Other | OH | ANTHEM PIN |
Other names 1
- Roseann M Stafford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN146908 | OH | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1003813163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 EASTWIND DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430813376",
"telephone_number": "614-268-9561",
"fax_number": "614-268-7849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 EASTWIND DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430813376",
"telephone_number": "614-268-9561",
"fax_number": "614-268-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERNEK",
"first_name": "ROSEANN",
"middle_name": "M",
"credential": "R.N.F.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "OH",
"license": "RN146908",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000337078",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROSEANN",
"last_name": "STAFFORD",
"middle_name": "M",
"credential": "R.N.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.