Individual provider Active NPI

Rosemarie Cevallos Palmerio, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Lafayette Hill, PA
National Provider Identifier
1609894096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP004453C Issued in PA
Practice address
4105 Barberry Dr
Lafayette Hill, PA 19444-1201
Phone
(610) 828-4653
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP004453C PA Primary

Addresses

Primary practice location

4105 Barberry Dr
Lafayette Hill, PA 19444-1201

Mailing address

4105 Barberry Dr
Lafayette Hill, PA 19444-1201
Phone (610) 828-4653

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP004453CPAMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609894096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 BARBERRY DR",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441201",
            "telephone_number": "610-828-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 BARBERRY DR",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441201",
            "telephone_number": "610-828-4653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMERIO",
        "first_name": "ROSEMARIE",
        "middle_name": "CEVALLOS",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP004453C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.