Active NPI
Rose Lisano Valentino, NP
- Family Nurse Practitioner
- Auburn, NY
National Provider Identifier
1265435127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F332607
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Plastic Surgery of Syracuse PLLC | Past | 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.
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-
- Otolaryngology Physician
- Syracuse, NY
- NPI 1952497026
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.