Individual provider Active NPI

Donna J Rekkerth, NP

  • Otorhinolaryngology & Head-Neck Registered Nurse
  • Rochester, NY
National Provider Identifier
1306876792
Registry record updated May 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otorhinolaryngology & Head-Neck Registered NurseTaxonomy code 163WX0601X
License
F332617 Issued in NY
Practice address
2365 Clinton Ave S
Suite 200
Rochester, NY 14618-2645
Phone
(585) 758-5700
Fax
(585) 758-1293
NPI assigned
Jul 3, 2006
Last updated
May 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otorhinolaryngology & Head-Neck Registered Nurse 163WX0601X F332617 NY Primary

Addresses

Primary practice location

2365 Clinton Ave S
Suite 200
Rochester, NY 14618-2645

Mailing address

2365 Clinton Ave S
Suite 200
Rochester, NY 14618-2645
Phone (585) 758-5700

Other identifiers 1

IdentifierTypeStateIssuer
P019332617OtherNYBLUE CHOICE

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273881600000",
    "number": "1306876792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 CLINTON AVE S",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182645",
            "telephone_number": "585-758-5700",
            "fax_number": "585-758-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 CLINTON AVE S",
            "address_2": "SUITE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182645",
            "telephone_number": "585-758-5700",
            "fax_number": "585-758-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REKKERTH",
        "first_name": "DONNA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0601X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Otorhinolaryngology & Head-Neck",
            "state": "NY",
            "license": "F332617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P019332617",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2010; 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.