Individual provider Active NPI

Rosemarie E Diercksen, FNP

  • Family Nurse Practitioner
  • Valhalla, NY
National Provider Identifier
1659529832
Registry record updated Aug 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332159 Issued in NY
Practice address
10 Woods Rd
Valhalla, NY 10595-1529
Phone
(914) 231-1136
NPI assigned
Aug 31, 2008
Last updated
Aug 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F332159 NY Primary

Addresses

Primary practice location

10 Woods Rd
Valhalla, NY 10595-1529

Mailing address

36 Continental Dr
West Nyack, NY 10994-2818
Phone (845) 358-2880

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
332159NYMDLicensed Practical Nurse
F332159NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1220140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220140800000",
    "number": "1659529832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CONTINENTAL DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942818",
            "telephone_number": "845-358-2880",
            "fax_number": "845-358-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951529",
            "telephone_number": "914-231-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERCKSEN",
        "first_name": "ROSEMARIE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-31",
        "last_updated": "2008-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2008; 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.