Rose Vixamar

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

02200527878 Issued in NY

Practice address

19 Ravenna Dr
Pomona, NY 10970-3607

Phone

(845) 426-3120

NPI assigned

May 25, 2010

Last updated

May 25, 2010By 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

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1528387974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RAVENNA DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703607",
            "telephone_number": "845-426-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 RAVENNA DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703607",
            "telephone_number": "845-426-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIXAMAR",
        "first_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "02200527878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Vetrano
• Vicalex Behavioral Health LCSW Services, P.C.
• Marie Yanick Vil
• Debra Lynn Villar, LMHC
• Vista Medical Services, PC
• Vladimir Zev Zelenko MD PC.
• Gerald Vogel, M.D.
• Lisa Vogel
• Faranak Vossughi, D.D.S., M.S.
• Fraidy Wagschal, OT

• Licensed Practical Nurse in Pomona, NY
• Providers in Pomona, 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 May 25, 2010; 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.