Individual provider Active NPI

Rose-Ann Van Der Geld

  • Athletic Trainer
  • West Hempstead, NY
National Provider Identifier
1306234851
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
001231-1 Issued in NY
Practice address
555 Mohawk Rd
West Hempstead, NY 11552
Phone
(347) 495-6424
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 001231-1 NY Primary

Addresses

Primary practice location

555 Mohawk Rd
West Hempstead, NY 11552

Mailing address

555 Mohawk Rd
West Hempstead, NY 11552-1111
Phone (347) 495-6424

Other names 1

  • Rose-Ann Van Der Geld Former name

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
001231-1NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1306234851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MOHAWK RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521111",
            "telephone_number": "347-495-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MOHAWK RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "11552",
            "telephone_number": "347-495-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER GELD",
        "first_name": "ROSE-ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001231-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE-ANN",
            "last_name": "VAN DER GELD",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.