Robert Desrosiers, APRN NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN00633 Issued in RI

Practice address

11 Main St
Store # 2065
Wakefield, RI 02879-3562

Phone

(401) 783-3384

NPI assigned

Mar 20, 2015

Last updated

Mar 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1013301621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 WARWICK NECK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028896534",
            "telephone_number": "401-286-6079",
            "fax_number": "401-286-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAIN ST",
            "address_2": "STORE # 2065",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793562",
            "telephone_number": "401-783-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROSIERS",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Assoc of Wakefield
• Dental Associates of Wakefield, Inc
• Dental Group of Wakefield LLC
• Frank Albert Dequattro, D.M.D.
• Mark Deresienski, O.D.
• Hannah N Deutschman, CNM
• Rebecca S Dexter, LICSW
• Dialysis Center of Wakefield LLC
• Amanda Diamond, MS, BCBA, LBA
• Heather A Dibiasio, M.D.

• Family Nurse Practitioner in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.