Active NPI
Roselore Fequiere, RN
- Family Nurse Practitioner
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0027688
- Practice address
- 500 Olde Worthington Rd
Westerville, OH 43082-8913 - Phone
- (614) 843-2285
- NPI assigned
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN337119 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0027688 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0027688 | OH | Primary |
Addresses
Primary practice location
500 Olde Worthington Rd
Westerville, OH 43082-8913
Mailing address
2339 Cleveland Ave
Columbus, OH 43211-1609
Phone (614) 843-2285
Other practice location 1
2339 Cleveland Ave
Columbus, OH 43211-1609
Phone (614) 843-2285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN337119 | OH | MD | Registered Nurse |
| APRN.CNP.0027688 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients |
Locations
441 Norton Rd
Columbus, OH 43228
Phone (614) 794-8800
5700 Karl Rd
Columbus, OH 43229
Phone (614) 846-5420
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
1030 High St
Worthington, OH 43085
Phone (614) 876-7356
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1457523110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2339 CLEVELAND AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432111609",
"telephone_number": "614-843-2285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 OLDE WORTHINGTON RD",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430828913",
"telephone_number": "614-843-2285"
}
],
"practiceLocations": [
{
"address_1": "2339 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432111609",
"country_code": "US",
"telephone_number": "614-843-2285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEQUIERE",
"first_name": "ROSELORE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN337119",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "APRN.CNP.0027688",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0027688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.