Carol Maria Van de Rostyne, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

632 Issued in AK

Practice address

3340 Providence Dr
Tower a, Suite 565
Anchorage, AK 99508-4691

Phone

(907) 212-8477

NPI assigned

Nov 29, 2007

Last updated

Feb 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carolyn.van.de.rostyne.1@11115.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Exexias Metrita - Anchorage LLC

  • Ambulatory Surgical Clinic/Center
  • Anchorage, AK
  • NPI 1932676343
  NPD (past)

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1336321439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 PIPER ST",
            "address_2": "SUITE 1060",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084665",
            "telephone_number": "907-212-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PROVIDENCE DR",
            "address_2": "TOWER A, SUITE 565",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084691",
            "telephone_number": "907-212-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE ROSTYNE",
        "first_name": "CAROL",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5600",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley Vascular Specialists LLC
• Valleywood Assisted Living Home, LLC
• Mary Vallieres
• Marvin Valmonte
• Erika Van Calcar, MS, RD, LD
• Caine Charles Van de Water
• Jennifer Hope Van Der Slice, LCSW
• Lian I Van Der Weel
• Katherine Nagele Van Duine, DVM
• Melissa Van Fossen, NP

• Family Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.