Individual provider Active NPI

Linda A Larocco, DNP, ANP-BC, FNP

  • Family Nurse Practitioner
  • Pine Bush, NY
National Provider Identifier
1114919164
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337273 Issued in NY
Practice address
59 Boniface Dr
Pine Bush, NY 12566-2977
Phone
(845) 744-4499
Fax
(845) 744-4497
NPI assigned
Aug 16, 2005
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F-302800-1 NY
Family Nurse Practitioner 363LF0000X 337273 NY Primary

Addresses

Primary practice location

59 Boniface Dr
Pine Bush, NY 12566-2977

Mailing address

59 Boniface Dr
Pine Bush, NY 12566-2977
Phone (845) 744-4499

Other identifiers 1

IdentifierTypeStateIssuer
02391335MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
F-302800-1NYMDAdult Health Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1114919164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 BONIFACE DR",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125662977",
            "telephone_number": "845-744-4499",
            "fax_number": "845-744-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BONIFACE DR",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125662977",
            "telephone_number": "845-744-4499",
            "fax_number": "845-744-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCCO",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "DNP, ANP-BC, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F-302800-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02391335",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.