Individual provider Active NPI

Rose Lisano Valentino, NP

  • Family Nurse Practitioner
  • Auburn, NY
National Provider Identifier
1265435127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332607 Issued in NY
Practice address
37 W Garden St
Ste 132
Auburn, NY 13021-2662
Phone
(315) 255-0606
Fax
(315) 255-6863
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F332607 NY Primary

Addresses

Primary practice location

37 W Garden St
Ste 132
Auburn, NY 13021-2662

Mailing address

7074 Parcell Rd
Auburn, NY 13021-9269
Phone (315) 255-3140

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
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Plastic Surgery of Syracuse PLLC PastSince Aug 1, 2021 Accepting new patients
Michael J Paciorek MD PC Past Accepting new patients

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265435127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7074 PARCELL RD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219269",
            "telephone_number": "315-255-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST",
            "address_2": "STE 132",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212662",
            "telephone_number": "315-255-0606",
            "fax_number": "315-255-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISANO VALENTINO",
        "first_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.