Individual provider Active NPI

Deanna Laverne Boursiquot, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Valhalla, NY
National Provider Identifier
1316533276
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346746 Issued in NY
Practice address
20 Hospital Oval W.
Cedarwood Hall, 2ND Floor
Valhalla, NY 10595-1571
Phone
(914) 493-8170
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346746 NY Primary

Addresses

Primary practice location

20 Hospital Oval W.
Cedarwood Hall, 2ND Floor
Valhalla, NY 10595-1571

Mailing address

20 Hospital Oval W.
Cedarwood Hall, 2ND Floor
Valhalla, NY 10595-1571
Phone (914) 493-8170

Other names 1

  • Deanna Laverne Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210224000746 NY Practitioner - Nurse Practitioner 9234544248 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wihd IncGroup PAC ID 7618917907, 33 clinicians

Practice addresses (Care Compare)

20 Hospital Oval W
Valhalla, NY 10595-1536
Phone (914) 493-8208

20 Hospital Oval W
Valhalla, NY 10595-1571

Hospital & facility affiliations

  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234
  • Hudson Valley Hospital Center Hospital, Cortlandt Manor, NY, CCN 330267
  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
346746NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wihd Inc CurrentSince Aug 15, 2025 Accepting new patients
Py Medical PLLC CurrentSince Jun 1, 2025 Accepting new patients
White Plains Medical Diagnostic Services, PC CurrentSince Dec 1, 2024 Accepting new patients
Genesis Medical Health PC CurrentSince Sep 15, 2023 Accepting new patients

Locations

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

10 Claremont Ave
Mount Vernon, NY 10550
Phone (718) 459-0700

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

476 Christian Herald Rd
Vly Cottage, NY 10989
Phone (845) 268-6861

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1316533276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL OVAL W.",
            "address_2": "CEDARWOOD HALL, 2ND FLOOR",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951571",
            "telephone_number": "914-493-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL OVAL W.",
            "address_2": "CEDARWOOD HALL, 2ND FLOOR",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951571",
            "telephone_number": "914-493-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURSIQUOT",
        "first_name": "DEANNA",
        "middle_name": "LAVERNE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "SMITH",
            "middle_name": "LAVERNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.