Desiree Nicole Rebmann, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

340799 Issued in NY

Practice address

4711 Transit Rd
Suite 1
Depew, NY 14043-4888

Phone

(716) 668-5331

Fax

(716) 668-5370

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

No

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eckamnp@forestreampediatrics.medentdirect.com

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

• Forestream Pediatrics, LLP

  • Pediatric Adolescent Medicine Physician
  • Depew, NY
  • NPI 1407813058
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1649623174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 TRANSIT RD",
            "address_2": "SUITE 1",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434888",
            "telephone_number": "716-668-5331",
            "fax_number": "716-668-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 TRANSIT RD",
            "address_2": "SUITE 1",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434888",
            "telephone_number": "716-668-5331",
            "fax_number": "716-668-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBMANN",
        "first_name": "DESIREE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Puma, OTR/L
• Khalid J Qazi, MD
• Jessica Quaranto, RN
• Dana Marie Ranallo, PHARMD
• Eric W Read, DPT
• Anne L. Reed
• Jennifer M Reese, OTR/L
• Nanette L. Regan, SLP
• Lisa Anne Rembold
• Respiratory Services of Western New York, Inc.

• Family Nurse Practitioner in Depew, NY
• Providers in Depew, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.