Individual provider Active NPI

Roselore Fequiere, RN

  • Family Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1457523110
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027688 Issued in OH
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

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 3

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220404001415 OH Practitioner - Nurse Practitioner 1254468234 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN337119OHMDRegistered Nurse
APRN.CNP.0027688OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Mar 1, 2022 Accepting new patients
Theoria Medical CurrentSince Jul 14, 2024 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.

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

Verify at the official NPI Registry.