ANASTASIA DEROUSSEL (NPI# 1548793631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548793631 |
| Entity Type | Individual |
| Full Name | ANASTASIA DEROUSSEL |
| Credential | NP |
| Practice Address |
99 E State St Gloversville NY 12078-1203 |
| Practice Telephone | 5187735559 |
| Mailing Telephone | 5187735559 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 727314-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F341382-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
99 E STATE ST |
| City | GLOVERSVILLE |
| State | NY |
| Zip Code | 12078-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145168 | Nathan Littauer Hospital Association | General Acute Care Hospital | 99 E State St, Gloversville, NY 12078-1203 | 2005-06-27 |
| 1336757327 | Krista Marie Sheils | Nurse Practitioner | 99 E State St, Gloversville, NY 12078-1203 | 2020-07-16 |
| 1346864477 | Melissa Vanslyke | Nurse Practitioner | 99 E State St, Gloversville, NY 12078-1203 | 2020-06-04 |
| 1992330047 | Elizabeth Anne Vanier | Registered Nurse | 99 E State St, Gloversville, NY 12078-1293 | 2020-03-10 |
| 1053944231 | Linda Goldstein | Occupational Therapy Assistant | 99 E State St, Gloversville, NY 12078-1293 | 2020-02-17 |
| 1699308197 | Sarah Kathryn Denero | Physical Therapy Assistant | 99 E State St, Gloversville, NY 12078-1203 | 2020-02-13 |
| 1043842586 | Kyla Santiago | Physical Therapy Assistant | 99 E State St, Gloversville, NY 12078-1203 | 2020-02-12 |
| 1699307298 | Andrea G Fagan | Physical Therapy Assistant | 99 E State St, Gloversville, NY 12078-1203 | 2020-02-11 |
| 1942830625 | Barbara Marie Smith | Physical Therapist | 99 E State St, Gloversville, NY 12078-1293 | 2020-01-22 |
| 1841820651 | Meredith Ann Lynds | Physical Therapist | 99 E State St, Gloversville, NY 12078-1293 | 2020-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477024909 | Justin Unislawski | Emergency Medical Technician, Basic | 4 Van Wyck St, Gloversville, NY 12078 | 2018-12-10 |
| 1356824486 | Paul J Sullivan | Counselor | 11-12 Broadway Ave, Gloversville, NY 12078 | 2018-09-14 |
| 1013424076 | Benjamin Edward Twait | Pharmacist | 1013 Ny-29a, Gloversville, NY 12078 | 2017-12-29 |
| 1538698998 | Claire Burnham | Counselor | 11-21 Broadway St., Gloversville, NY 12078 | 2017-06-08 |
| 1942756895 | Shardul Koppar | Internal Medicine | 847 Cr-122, Gloversville, NY 12078 | 2016-08-31 |
| 1821460288 | Kelley Mcgork | Physical Therapist | 127 E. State Street, Lexington Center, Gloversville, NY 12078 | 2015-10-26 |
| 1750729570 | Arthur Keith Brelia | General Practice | 104 Prospect Ave., Gloversville, NY 12078 | 2013-06-14 |
| 1891056693 | St. Mary's Healthcare | Family Medicine | 84 E State St., Gloversville, NY 12078 | 2012-06-07 |
| 1407179963 | Karen Ann Mowrey | Pharmacist | Route 30a, Arterial Shopping Center, Gloversville, NY 12078 | 2010-03-11 |
| 1619105053 | Amy Lee Gagne | Nurse Practitioner | 84 E State St, St. Mary's Hospital, Gloversville Family Health Center, Gloversville, NY 12078 | 2009-06-24 |
| Find all providers in zip 12078 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861948150 | Racquel Ryan | Nurse Practitioner | 356 S Kingsboro Ave, Gloversville, NY 12078-4612 | 2016-08-28 |
| 1619105053 | Amy Lee Gagne | Nurse Practitioner | 84 E State St, St. Mary's Hospital, Gloversville Family Health Center, Gloversville, NY 12078 | 2009-06-24 |
| 1336757327 | Krista Marie Sheils | Nurse Practitioner | 99 E State St, Gloversville, NY 12078-1203 | 2020-07-16 |
| 1932685237 | Kayla Bellinger | Nurse Practitioner | 99 E State St, Gloversville, NY 12078-1203 | 2018-07-19 |
| 1710330576 | Haley Rose Wilcox | Nurse Practitioner | 99 E State St, Gloversville, NY 12078-1203 | 2016-07-18 |
| 1689025371 | Amanda Reed | Nurse Practitioner | 99 E State St, Gloversville, NY 12078-1203 | 2016-06-24 |
| 1104276203 | Amy Beth Hall | Nurse Practitioner | 182 Steele Ave, Gloversville, NY 12078-4617 | 2016-06-20 |
| 1609271816 | Julie Ann Dillenbeck-juers | Nurse Practitioner | 99 E State St, Gloversville, NY 12078-1203 | 2014-10-30 |
| 1730527458 | Nichole D Santiago | Nurse Practitioner | 84 E State St, Gloversville, NY 12078-1202 | 2013-06-05 |
| 1386907558 | Susan K Duross | Nurse Practitioner | 99 E State St, Gloversville, NY 12078-1203 | 2012-06-21 |
| Find all providers in GLOVERSVILLE | ||||
| City | GLOVERSVILLE |
| Zip Code | 12078 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.