Active NPI
Robin Desrosiers, NP
- Nurse Practitioner
- Walden, NY
National Provider Identifier
1295866523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 304569
- Practice address
- 37 Main St
Walden, NY 12586-1834 - Phone
- (845) 778-5811
- Fax
- (845) 778-5564
- NPI assigned
- Mar 8, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 304569 | NY | Primary |
Addresses
Primary practice location
37 Main St
Walden, NY 12586-1834
Mailing address
14 Kings Rd
Highland Falls, NY 10928-4322
Phone (845) 778-5811
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304569 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Medical PC | Past | Accepting new patients | |
| Walden Medical, PLLC | Nurse Practitioner | 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.
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1902855828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295866523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 KINGS RD",
"city": "HIGHLAND FALLS",
"state": "NY",
"postal_code": "109284322",
"telephone_number": "845-778-5811",
"fax_number": "845-778-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 MAIN ST",
"city": "WALDEN",
"state": "NY",
"postal_code": "125861834",
"telephone_number": "845-778-5811",
"fax_number": "845-778-5564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESROSIERS",
"first_name": "ROBIN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "304569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walden, 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.