Individual provider Active NPI

Rosemary Ann Dibartolomeo, WHC-NP

  • Women's Health Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1790909208
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
4704120439 Issued in MI
Practice address
28711 8 Mile Rd Ste C
Livonia, MI 48152-2041
Phone
(248) 474-4590
Fax
(248) 888-9127
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 4704120439 MI Primary

Addresses

Primary practice location

28711 8 Mile Rd Ste C
Livonia, MI 48152-2041

Mailing address

4349 Bender CT
Troy, MI 48098-4475

Other practice location 1

28100 Grand River Ave Ste 306S
Farmington Hills, MI 48336-5970
Phone (248) 471-4461

Other practice location 2

15540 Beech Daly Rd
Redford, MI 48239-3804
Phone (313) 387-7476

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1790909208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 BENDER CT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28711 8 MILE RD STE C",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522041",
            "telephone_number": "248-474-4590",
            "fax_number": "248-888-9127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28100 Grand River Ave Ste 306S",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365970",
            "country_code": "US",
            "telephone_number": "248-471-4461",
            "fax_number": "248-888-2675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15540 Beech Daly Rd",
            "address_purpose": "LOCATION",
            "city": "Redford",
            "state": "MI",
            "postal_code": "482393804",
            "country_code": "US",
            "telephone_number": "313-387-7476",
            "fax_number": "313-387-5263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBARTOLOMEO",
        "first_name": "ROSEMARY",
        "middle_name": "ANN",
        "credential": "WHC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704120439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.