Individual provider Active NPI

Christiana Adrienne Roszik, WHNP-BC

  • Women's Health Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1073285599
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN2316608 Issued in MA
Practice address
123 Turnpike St
North Andover, MA 01845-5032
Phone
(978) 502-7358
NPI assigned
Oct 3, 2021
Reactivated
Mar 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X RN2316608 MA
Women's Health Nurse Practitioner 363LW0102X RN2316608 MA Primary

Addresses

Primary practice location

123 Turnpike St
North Andover, MA 01845-5032

Mailing address

12 Pleasant Street
Pepperell, MA 01463-1620
Phone (978) 502-7358

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christiana.roszik@idealimage.com Direct

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

LicenseStateTypeSpecialty
RN2316608MAMDWomen's Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1073285599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PLEASANT STREET",
            "city": "PEPPERELL",
            "state": "MA",
            "postal_code": "014631620",
            "telephone_number": "978-502-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 TURNPIKE ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455032",
            "telephone_number": "978-502-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSZIK",
        "first_name": "CHRISTIANA",
        "middle_name": "ADRIENNE",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-03",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "deactivation_date": "2022-04-14",
        "reactivation_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2316608",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2316608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christiana.roszik@idealimage.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "123 Turnpike Street",
            "city": "North Anodver",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.