Individual provider Active NPI

Catherine Ann Rondeau, ARNP

  • Adult Health Nurse Practitioner
  • Wading River, NY
National Provider Identifier
1023463148
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310198-01 Issued in NY
Practice address
206 Cliff Rd W
Wading River, NY 11792-1241
Phone
(401) 419-3468
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 9188659 FL
Adult Health Nurse Practitioner 363LA2200X F310198-01 NY Primary

Addresses

Primary practice location

206 Cliff Rd W
Wading River, NY 11792-1241

Mailing address

206 Cliff Rd W
Wading River, NY 11792-1241
Phone (401) 419-3468

Other practice location 1

8 Abbott Park Pl
Providence, RI 02903-3775
Phone (401) 598-1104

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL crndeau@yahoo.com Direct
CONNECT URL crndeau@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122002620 NY Practitioner - Nurse Practitioner 3476921438 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9188659FLMDNurse Practitioner
F310198-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 31, 2022 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1023463148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CLIFF RD W",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921241",
            "telephone_number": "401-419-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CLIFF RD W",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117921241",
            "telephone_number": "401-419-3468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Abbott Park Pl",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029033775",
            "country_code": "US",
            "telephone_number": "401-598-1104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONDEAU",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9188659",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310198-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crndeau@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "206 Cliff Rd W",
            "city": "Wading River",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117921241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "crndeau@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "206 Cliff Rd W",
            "city": "Wading River",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117921241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wading River, NY

Sources for this page

Verify at the official NPI Registry.