Rose A. Simon, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

3063031 Issued in NY

Practice address

138 Cecil Malone Dr
Ithaca, NY 14850-5124

Phone

(607) 273-0466

Fax

(607) 273-0466

NPI assigned

Apr 6, 2006

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

Other identifiers 2

Other names 1

• Miss Rose A. Birschbach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1326000985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 GREEN RD",
            "city": "LOCKE",
            "state": "NY",
            "postal_code": "130923273",
            "telephone_number": "315-224-5001",
            "fax_number": "315-224-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CECIL MALONE DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505124",
            "telephone_number": "607-273-0466",
            "fax_number": "607-273-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ROSE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "11271-031",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "3063031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161413735",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841595",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "BIRSCHBACH",
            "middle_name": "A.",
            "prefix": "MISS",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walter C Silbert, MD
• Phaelon H. Silva, MD
• Joelle Silverman-Hrubes, LMSW
• Deana Tracy Silvernail, M.S.
• Alison Genia Simione
• Emily Sue Simonds
• Christene Simone, MA, EDS
• Dorothea Anna Simone, RN
• Aleza Handelman Simons
• Simplifed Ipa LLC

• Licensed Practical Nurse in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.