Dawn Marie Roudybush, GNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

LD-0000144 Issued in DE

Practice address

680 Blair Mill Rd
Horsham, PA 19044-2223

Phone

(443) 545-6280

Fax

(888) 816-8109

NPI assigned

Apr 22, 2009

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 names 1

• Dawn Marie Baylis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1326282278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 BLAIR MILL RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442223",
            "telephone_number": "443-545-6280",
            "fax_number": "888-816-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 BLAIR MILL RD",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442223",
            "telephone_number": "443-545-6280",
            "fax_number": "888-816-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUDYBUSH",
        "first_name": "DAWN MARIE",
        "credential": "GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R168529",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DE",
            "license": "LD-0000144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN MARIE",
            "last_name": "BAYLIS",
            "credential": "GNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanna M Ronkowski-Ziegast
• Noah A Rosen, MD
• Daniel Evan Rosenberg, MD
• Melissa Rosenthal, SLP
• Charles Roth
• Dianna Rowe, LCSW
• Marissa Rubenstein, DMD
• Kaleen Rupchak, DPT
• Lori A Ruskin, CRNP
• S.E. PA Pain Management

• Gerontology Nurse Practitioner in Horsham, PA
• Providers in Horsham, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.