Active NPI
Charmaine E Roman, RN
- Registered Nurse
- Pepper Pike, OH
National Provider Identifier
1962711499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN. 369921
- Practice address
- 3737 Lander Rd
Pepper Pike, OH 44124-5712 - Phone
- (216) 831-2255
- Fax
- (216) 378-3906
- NPI assigned
- Oct 1, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S.0028064 | OH | |
| Registered Nurse | 163W00000X | RN. 369921 | OH | Primary |
Addresses
Primary practice location
3737 Lander Rd
Pepper Pike, OH 44124-5712
Mailing address
3737 Lander Rd
Pepper Pike, OH 44124-5712
Phone (216) 831-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0268768 | Medicaid | OH |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0028064 | OH | MD | Clinical Social Worker |
| RN. 369921 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1962711499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 LANDER RD",
"city": "PEPPER PIKE",
"state": "OH",
"postal_code": "441245712",
"telephone_number": "216-831-2255",
"fax_number": "216-378-3906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 LANDER RD",
"city": "PEPPER PIKE",
"state": "OH",
"postal_code": "441245712",
"telephone_number": "216-831-2255",
"fax_number": "216-378-3906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "CHARMAINE",
"middle_name": "E",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-01",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.0028064",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN. 369921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0268768",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pepper Pike, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.