Individual provider Active NPI

Rebecca Derosette

  • Registered Nurse
  • Sherman, TX
National Provider Identifier
1255949772
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
868833 Issued in TX
Practice address
8001 S US Highway 75
Sherman, TX 75090-5707
Phone
(903) 532-1400
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 868833 TX Primary

Addresses

Primary practice location

8001 S US Highway 75
Sherman, TX 75090-5707

Mailing address

8001 S US Highway 75
Sherman, TX 75090-5707
Phone (903) 532-1400

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
868833TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aoc FL, LLC CurrentSince Aug 2, 2020 Accepting new patients
Aoc TX, LLC PastSince Aug 2, 2020 Accepting new patients

Locations

8001 S US Highway 75
Sherman, TX 75090
Phone (806) 353-2700

Organizations & group practices 2

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1255949772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 S US HIGHWAY 75",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905707",
            "telephone_number": "903-532-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 S US HIGHWAY 75",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905707",
            "telephone_number": "903-532-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSETTE",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "868833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.