Individual provider Active NPI

Rosario Vanessa Colley, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1982023073
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402540-1 Issued in NY
Practice address
1776 Clay Ave
Bronx, NY 10457-7239
Phone
(718) 960-7599
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9311585 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402540-1 NY Primary

Addresses

Primary practice location

1776 Clay Ave
Bronx, NY 10457-7239

Mailing address

1776 Clay Ave
Bronx, NY 10457-7421
Phone (347) 649-3354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190201001382 NY Practitioner - Nurse Practitioner 5890032684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Casa de Salud IncGroup PAC ID 6103913835, 23 clinicians

Practice addresses (Care Compare)

324 E 149TH St
Bronx, NY 10451-5602
Phone (718) 665-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9311585FLMDRegistered Nurse
F402540-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Psychiatric Services, PC CurrentSince Jul 19, 2023 Accepting new patients
La Casa de Salud, Inc CurrentSince Jan 24, 2022 Accepting new patients
La Casa de Salud Inc. CurrentSince Jan 24, 2022 Accepting new patients

Locations

966 Prospect Ave
Bronx, NY 10459
Phone (718) 617-6060

915 Westchester Ave
Bronx, NY 10459
Phone (646) 224-9300

324 E 149th St
Bronx, NY 10451
Phone (718) 665-4300

286 Fort Washington Ave
Apt 1B
New York, NY 10032
Phone (212) 568-7403

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22787/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rosario.fernandez.1@22787.direct.athenahealth.com
  • Direct secure messaging: rfernandez966383@nychhc.direct-ci.com

Organizations & group practices 3

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1982023073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 CLAY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577421",
            "telephone_number": "347-649-3354",
            "fax_number": "347-649-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 CLAY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577239",
            "telephone_number": "718-960-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEY",
        "first_name": "ROSARIO",
        "middle_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9311585",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402540-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.