Charlotte Ann Rollie, F.N.P, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

CNM0006 Issued in MN

Practice address

705 Pleasant Ave S
Park Rapids, MN 56470

Phone

(218) 732-2800

Fax

(218) 732-2874

NPI assigned

May 1, 2006

Last updated

Aug 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1255399283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581086001",
            "telephone_number": "218-732-2800",
            "fax_number": "218-732-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PLEASANT AVE S",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "56470",
            "telephone_number": "218-732-2800",
            "fax_number": "218-732-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLIE",
        "first_name": "CHARLOTTE",
        "middle_name": "ANN",
        "credential": "F.N.P, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R1203026",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "CNP0022",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "CNM0006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255399283",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackie R Rehm, RPH
• Guy V Reich, DDS
• Michelle Lynn Rice, PTA
• Denise Christine Ristinen, OTR/L
• Seth Roiko, APRN FNP-C
• Thomas Richard Rollie, M.D.
• Sara Marie Jansen Rowe, PHARMD
• Sheryl Jo Rudolf, APRN, CNP
• Amanda Dawn Runyan, DPT
• Michelle Marie Samuelson

• Advanced Practice Midwife in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• Advanced Practice Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.