Individual provider Active NPI

Rosalyn Anne Dubois, FNP, GNP

  • Family Nurse Practitioner
  • Horseheads, NY
National Provider Identifier
1093973802
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335017 Issued in NY
Practice address
44 Hickory Grove Rd
Horseheads, NY 14845-8593
Phone
(607) 739-0962
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F335017 NY Primary
Gerontology Nurse Practitioner 363LG0600X F340618 NY

Addresses

Primary practice location

44 Hickory Grove Rd
Horseheads, NY 14845-8593

Mailing address

44 Hickory Grove Rd
Horseheads, NY 14845-8593
Phone (607) 739-0962

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

LicenseStateTypeSpecialty
F335017NYMDFamily Nurse Practitioner
F340618NYMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1093973802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HICKORY GROVE RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458593",
            "telephone_number": "607-739-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HICKORY GROVE RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458593",
            "telephone_number": "607-739-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "ROSALYN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "FNP, GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335017",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseheads, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.