Stephanie Rousseau, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F311341 Issued in NY

Practice address

194 Brookside Ave Unit 2
Mount Vernon, NY 10553-1304

Phone

(347) 961-3148

NPI assigned

Jul 7, 2023

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

Other names 1

• Stephanie Perez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1285312462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BROOKSIDE AVE UNIT 2",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 BROOKSIDE AVE UNIT 2",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105531304",
            "telephone_number": "347-961-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PEREZ",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eve Rosemarin, MD
• Ari Samuel Rosenbach, MD
• Rita Goman Rosenman
• Warren Scott Rosenzweig, DDS
• Gregory Rousseau
• Claudia Rubicco
• Joanne Ruckel, LCSW
• Tatyana Rudakova, RN
• Amanda Rudolph, RN, LPN
• Laurie Ann Ruffin, COTA/L

• Adult Health Nurse Practitioner in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.