Active NPI
Cheryl Ann Rothwell, NP
- Adult Health Nurse Practitioner
- Mashpee, MA
National Provider Identifier
1376777458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 234187
- Practice address
- 5 Industrial Drive
Mashpee Family Medicine Suite 100
Mashpee, MA 02649 - Phone
- (508) 477-4282
- Fax
- (508) 539-6134
- NPI assigned
- May 5, 2009
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 234187 | MA | Primary |
Addresses
Primary practice location
5 Industrial Drive
Mashpee Family Medicine Suite 100
Mashpee, MA 02649
Mailing address
47 Obery St Ste 1a
Plymouth, MA 02360-2230
Phone (508) 747-4883
Other practice location 1
47 Obery St Ste 1A
Plymouth, MA 02360-2230
Phone (508) 747-4883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140930000833 | MA | Practitioner - Nurse Practitioner | 0143440966 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Healthcare LLC | Current | Accepting new patients | |
| Total Wellness Centers, LLC | Past | Accepting new patients |
Locations
45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Holyoke, MA
- NPI 1770020018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1376777458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 OBERY ST STE 1A",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023602230",
"telephone_number": "508-747-4883",
"fax_number": "508-747-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 INDUSTRIAL DRIVE",
"address_2": "MASHPEE FAMILY MEDICINE SUITE 100",
"city": "MASHPEE",
"state": "MA",
"postal_code": "02649",
"telephone_number": "508-477-4282",
"fax_number": "508-539-6134"
}
],
"practiceLocations": [
{
"address_1": "47 Obery St Ste 1A",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "MA",
"postal_code": "023602230",
"country_code": "US",
"telephone_number": "508-747-4883",
"fax_number": "508-747-6661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTHWELL",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-05",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "234187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mashpee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.