Active NPI
Roshni Liz Chettiar, CRNP
- Family Nurse Practitioner
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R187321
- Practice address
- 8850 Columbia 100 Pkwy
Suite 301
Columbia, MD 21045-2374 - Phone
- (301) 560-4747
- Fax
- (301) 776-1725
- NPI assigned
- Dec 18, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R187321 | MD | Primary |
Addresses
Primary practice location
8850 Columbia 100 Pkwy
Suite 301
Columbia, MD 21045-2374
Mailing address
7350 Van Dusen Rd
Ste 130
Laurel, MD 20707-5267
Phone (301) 560-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161220001283 | MD | Practitioner - Nurse Practitioner | 3971884545 | Reassigns benefits to 1 organization |
| I20240708002516 | DC | Practitioner - Nurse Practitioner | 3971884545 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R187321 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Padder Health Services, LLC | Current | Accepting new patients | |
| Padder Health Services, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
8860 Columbia 100 Pkwy
Ste 212
Columbia, MD 21045
Phone (301) 560-4747
9710 Patuxent Woods Dr
Ste 100
Columbia, MD 21046
Phone (301) 560-4747
9710 Patuxent Woods Dr
Columbia, MD 21046
Phone (443) 899-9525
8850 Columbia 100 Pkwy
Ste 308
Columbia, MD 21045
Phone (301) 560-4747
8850 Columbia 100 Pkwy
Ste 301
Columbia, MD 21045
Phone (240) 456-4772
7350 Van Dusen Rd
Ste 130
Laurel, MD 20707
Phone (301) 498-8880
7350 Van Dusen Rd
Ste B40
Laurel, MD 20707
Phone (240) 456-4772
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFEBAA
- roshni.chettiar@fphs.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Columbia, MD
- NPI 1073329595
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1124483029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7350 VAN DUSEN RD",
"address_2": "STE 130",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075267",
"telephone_number": "301-560-4747",
"fax_number": "301-776-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8850 COLUMBIA 100 PKWY",
"address_2": "SUITE 301",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452374",
"telephone_number": "301-560-4747",
"fax_number": "301-776-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHETTIAR",
"first_name": "ROSHNI",
"middle_name": "LIZ",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-18",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R187321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.