Individual provider Active NPI

Dawn M Larock, LPN

  • Licensed Practical Nurse
  • Fulton, NY
National Provider Identifier
1780208983
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
319149-1 Issued in NY
Practice address
113 Schuyler St
Fulton, NY 13069-1652
Phone
(315) 887-5156
Fax
(315) 887-5163
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 319149-1 NY Primary

Addresses

Primary practice location

113 Schuyler St
Fulton, NY 13069-1652

Mailing address

29 E 5TH St
Oswego, NY 13126-1140
Phone (315) 329-1646

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address dlarock@ariseinc.org Health Information Exchange (HIE)
Direct Messaging Address dlarock@ariseinc.org Direct
Direct Messaging Address dlarock@ariseinc.org Health Information Exchange (HIE)
Direct Messaging Address dlarock@ariseinc.org Direct

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
319149-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arise Child and Family Service Inc CurrentSince Jun 7, 2020 Accepting new patients

Locations

113 Schuyler St
Fulton, NY 13069
Phone (315) 671-5426

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1780208983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E 5TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261140",
            "telephone_number": "315-329-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SCHUYLER ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691652",
            "telephone_number": "315-887-5156",
            "fax_number": "315-887-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCK",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "319149-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlarock@ariseinc.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "113 Schuyler St",
            "city": "Fulton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130691652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlarock@ariseinc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "113 Schuyler St",
            "city": "Fulton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130691652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlarock@ariseinc.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "113 Schuyler St",
            "city": "Fulton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130691652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlarock@ariseinc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "113 Schuyler St",
            "city": "Fulton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130691652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.