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
- Last updated
- Oct 11, 2022
- 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
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 |
Locations
45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.