Rebecca Lynn Derossett, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

102685 Issued in WV

Practice address

1415 6TH Ave # a
Huntington, WV 25701-2420

Phone

(304) 522-1142

NPI assigned

Sep 17, 2019

Last updated

Dec 17, 2023By the provider in NPPES

Sex

Female

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

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Coalfield Family Services, PLLC

  dba Coalfield Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Gay, WV
  • NPI 1508540303
  NPD

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1194375576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SANSOM AVE",
            "city": "WAYNE",
            "state": "WV",
            "postal_code": "255709651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 6TH AVE # A",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012420",
            "telephone_number": "304-522-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11713 Route 152 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "WV",
            "postal_code": "255706539",
            "country_code": "US",
            "telephone_number": "681-464-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROSSETT",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "102685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Charles Dennison
• William Brian Dennison, MD
• Misha Dent, PA
• Finn Depriest
• Hannah Depriest
• Amber Desimone, PRSS
• Alexis Morgan Deskins
• Andrew Stevens Desrosiers, MD
• Naomi Lee Detemple, OTR/L
• Justine Detrow

• Family Nurse Practitioner in Huntington, WV
• Providers in Huntington, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.