Willie Jeanne Rounddean, PEER ADVOCATE

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CRPA-P-5903 Issued in NY

Practice address

360 East Ave Ste 100
Rochester, NY 14604-2699

Phone

(585) 944-5649

NPI assigned

Nov 21, 2022

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

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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1477262293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042638",
            "telephone_number": "585-944-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 EAST AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042699",
            "telephone_number": "585-944-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDDEAN",
        "first_name": "WILLIE",
        "middle_name": "JEANNE",
        "credential": "PEER ADVOCATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "CRPA-P-5903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael F Rotondo, MD
• Christopher James Rottingen, RPH
• Kristen Noel Rotundo Conjerti, LCSW
• Nathan Rotundo, MD
• Patricia Anne Rotundo, RPH
• Baileasue Rounds, DO
• Sherlonda Roundtree, LPN
• Geraldine Rouse
• Katherine Elizabeth Rouse, M.S., CCC-SLP
• Lucien Maltby Rouse, MD

• Peer Specialist in Rochester, NY
• Providers in Rochester, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.