Individual provider Active NPI

Chantira Monique Roshell, LPN

  • Licensed Practical Nurse
  • Menomonee Falls, WI
National Provider Identifier
1659955375
Registry record updated May 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
326242-31 Issued in WI
Practice address
N86W14322 Fond Du Lac Ave
Menomonee Falls, WI 53051-3266
Phone
(414) 484-9465
NPI assigned
May 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 326242-31 WI Primary

Addresses

Primary practice location

N86W14322 Fond Du Lac Ave
Menomonee Falls, WI 53051-3266

Mailing address

N86W14322 Fond Du Lac Ave
Menomonee Falls, WI 53051-3266
Phone (414) 484-9465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
326242-31WIMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620518400000",
    "number": "1659955375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N86W14322 FOND DU LAC AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513266",
            "telephone_number": "414-484-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N86W14322 FOND DU LAC AVE",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513266",
            "telephone_number": "414-484-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSHELL",
        "first_name": "CHANTIRA",
        "middle_name": "MONIQUE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "326242-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.