Stephanie Kachalla, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704253075 Issued in MI

Practice address

75 Barclay Cir
Suite 225
Rochester Hills, MI 48307-5820

Phone

(248) 299-1892

NPI assigned

Sep 20, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Stephanie Roslonski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Erik G. Palmer, D.O., a Medical Corp

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1770648404
  NPD
• Diagnostic Imaging Services

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Metairie, LA
  • NPI 1699793166
  NPD (past)
• Varun Gupta MD Professional Corporation

  • Hematology & Oncology Physician
  • Rancho Mirage, CA
  • NPI 1952327306
  NPD (past)

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1972854792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "SUITE 225",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075820",
            "telephone_number": "248-299-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "SUITE 225",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075820",
            "telephone_number": "248-299-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHALLA",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "22383",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704253075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF REGISTERED NURSING",
            "identifier": "22383",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ROSLONSKI",
            "prefix": "MS.",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David M Juliani, D.D.S
• Hiba Jumaah
• Sungmin Alex Jung Jodis
• Justin J Berlin DC PLC
• K. Steven Wagner, MD PLLC
• Ajith K Kadakol, M.D.
• Zahabiya Kadwalwala, COTA/L
• Hamed P Kafifar, PT
• Kairos Counseling Center
• Tamera Kajy, FNP-BC

• Adult Health Nurse Practitioner in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.