Individual provider Active NPI

Rowena Ann Redmond, PNP GNP

  • Pediatric Nurse Practitioner
  • Newark, NY
National Provider Identifier
1407881014
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F380324 Issued in NY
Practice address
703 East Maple Ave
Tymeson Building
Newark, NY 14513-9921
Phone
(315) 331-1700
Fax
(315) 331-3946
NPI assigned
Jul 11, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F340535 NY
Pediatric Nurse Practitioner 363LP0200X F380324 NY Primary

Addresses

Primary practice location

703 East Maple Ave
Tymeson Building
Newark, NY 14513-9921

Mailing address

703 East Maple Ave
Tymeson Building
Newark, NY 14513-9921
Phone (315) 331-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F340535NYMDGerontology Nurse Practitioner
F380324NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Ddso Yates Past Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1407881014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 EAST MAPLE AVE",
            "address_2": "TYMESON BUILDING",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145139921",
            "telephone_number": "315-331-1700",
            "fax_number": "315-331-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 EAST MAPLE AVE",
            "address_2": "TYMESON BUILDING",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145139921",
            "telephone_number": "315-331-1700",
            "fax_number": "315-331-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "ROWENA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PNP GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340535",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.