Active NPI
Deanna Laverne Boursiquot, NURSE PRACTITIONER
- Family Nurse Practitioner
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 346746
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
- Hudson Valley Hospital Center
- St John'S Riverside Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 346746 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wihd Inc | Current | Accepting new patients | |
| Py Medical PLLC | Current | Accepting new patients | |
| White Plains Medical Diagnostic Services, PC | Current | Accepting new patients | |
| Genesis Medical Health PC | Current | 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.
-
- Clinic/Center
- Valhalla, NY
- NPI 1386714228
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
-
- Pain Medicine Physician
- Bronx, NY
- NPI 1043081524
-
- Internal Medicine Physician
- Nyack, NY
- NPI 1689955338
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortlandt Manor, NY
- NPI 1881659274
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.