Active NPI
Nemenifa Rosokow
- Health Educator
- Keizer, OR
National Provider Identifier
1831056571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 114856
- Practice address
- 3410 Cherry Ave NE
Keizer, OR 97303-4924 - Phone
- (503) 606-7697
- NPI assigned
- Jan 6, 2026
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 114856 | OR | Primary |
Addresses
Primary practice location
3410 Cherry Ave NE
Keizer, OR 97303-4924
Mailing address
155 Pembrook St SE
Salem, OR 97302-5050
Phone (971) 712-8425
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
| License | State | Type | Specialty |
|---|---|---|---|
| 114856 | OR | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1831056571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 PEMBROOK ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973025050",
"telephone_number": "971-712-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 CHERRY AVE NE",
"city": "KEIZER",
"state": "OR",
"postal_code": "973034924",
"telephone_number": "503-606-7697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSOKOW",
"first_name": "NEMENIFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-06",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "OR",
"license": "114856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.