Alexandria Derose, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014293 Issued in PA

Practice address

3045 Marietta Ave
Lancaster, PA 17601-1321

Phone

(717) 898-2900

Fax

(717) 898-3275

NPI assigned

Sep 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1316340730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 MARIETTA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011321",
            "telephone_number": "717-898-2900",
            "fax_number": "717-898-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 MARIETTA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011321",
            "telephone_number": "717-898-2900",
            "fax_number": "717-898-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSE",
        "first_name": "ALEXANDRIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN617744",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Physicians Inc
• Dermatology Physicians Inc
• Dermatology Physicians Inc
• Dermatology Physicians Inc.
• Meghan Dermody, M.D.
• Leann Derr
• Anne-Marie Derrico, MD
• Christen Nicole Desarro, DPT
• Leigh Ann Deshong, M.D.
• Swapna Ravindra Deshpande, MD

• Family Nurse Practitioner in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.