Active NPI
Rosalyn Anne Dubois, FNP, GNP
- Family Nurse Practitioner
- Horseheads, NY
National Provider Identifier
1093973802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F335017
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| F335017 | NY | MD | Family Nurse Practitioner |
| F340618 | NY | MD | Gerontology 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.