Individual provider Active NPI

Rachelle Sideris, RN, NP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Garden City, NY
National Provider Identifier
1982277323
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
433492 Issued in NY
Practice address
3 Franklin CT W
Garden City, NY 11530-6111
Phone
(516) 406-6059
Fax
(516) 747-3750
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 433492 NY Primary
Ostomy Care Registered Nurse 163WX1500X 542966 NY

Addresses

Primary practice location

3 Franklin CT W
Garden City, NY 11530-6111

Mailing address

PO Box 12
Garden City, NY 11530-0012
Phone (516) 406-3292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1481 McDonald Ave
Brooklyn, NY 11230-4667

3 Franklin CT W
Garden City, NY 11530-6111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
433492NYMDRegistered Nurse
542966NYMDOstomy Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1982277323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115300012",
            "telephone_number": "516-406-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FRANKLIN CT W",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306111",
            "telephone_number": "516-406-6059",
            "fax_number": "516-747-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDERIS",
        "first_name": "RACHELLE",
        "credential": "RN, NP, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "433492",
            "primary": true
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "NY",
            "license": "542966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.