Individual provider Active NPI

Cheryl Ann Rothwell, NP

  • Adult Health Nurse Practitioner
  • Mashpee, MA
National Provider Identifier
1376777458
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
234187 Issued in MA
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

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Vantage Healthcare LLC CurrentSince Mar 21, 2021 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.

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

Verify at the official NPI Registry.