KETSIA DESROSIERS (NPI# 1942787320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942787320 |
| Entity Type | Individual |
| Full Name | KETSIA DESROSIERS |
| Credential | RN |
| Practice Address |
1610 Old Country Road Westbury NY 11590 |
| Mailing Address |
219 Brook St Westbury NY 11590-3511 |
| Practice Telephone | 5162284900 |
| Practice Fax Number | 6317371441 |
| Mailing Telephone | 5163849224 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2019-05-01 |
| NPI Deactivation Date | 03/06/2019 |
| NPI Reactivation Date | 2019-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
632149 | NY | Nursing Service Providers |
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
00632149 | NY | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
343477 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1610 OLD COUNTRY ROAD |
| City | WESTBURY |
| State | NY |
| Zip Code | 11590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 1306486501 | Tesa S Etchieson | Case Manager/Care Coordinator | 1400 Old Country Road Suite C103-n, Westbury, NY 11590 | 2020-01-15 |
| 1134762685 | Melissa Barry | Behavioral Analyst | 19 Sherman Street, Westbury, NY 11590 | 2019-10-28 |
| 1538713060 | Li Chen | Massage Therapist | 97 Post Ave, Westbury, NY 11590 | 2019-08-01 |
| 1710472782 | Long Island Heart and Vascular Specialist PC | Internal Medicine | 1600 Stewart Ave Ste 105, Westbury, NY 11590 | 2018-06-22 |
| 1669962791 | Viji Joseph Meledath | Nurse Practitioner | 38 Fawn Ln, Westbury, NY 11590 | 2018-05-15 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1356884431 | Aurus Service Center of New York, LLC | Early Intervention Provider Agency | 39 Pilgrim Lane, Westbury, NY 11590 | 2016-11-22 |
| 1376099598 | Kelly Eulner-tripodi | Social Worker | 50 East Asbury Ave, Westbury, NY 11590 | 2016-08-28 |
| 1720440100 | Chetan Sharma | Early Intervention Provider Agency | 400 Post Avenue, Suite 203, Westbury, NY 11590 | 2016-03-24 |
| Find all providers in zip 11590 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407661 | Jeffrey June Angeles | Registered Nurse | 8020 Broadway Apt 4m, Elmhurst, NY 11373-3104 | 2020-11-07 |
| 1760083000 | Misterline Marie Parkes | Registered Nurse | 648 E 105th St, Brooklyn, NY 11236-2506 | 2020-11-03 |
| 1790384881 | Sarah Bast | Registered Nurse | 259 Ithaca Rd, Spencer, NY 14883-9370 | 2020-10-20 |
| 1114525797 | Lavern H Simms | Registered Nurse | 207 Long Beach Rd, Hempstead, NY 11550-7314 | 2020-10-15 |
| 1205434453 | Aida Cino | Registered Nurse | 1522 W 1st St Fl 2, Brooklyn, NY 11204-3501 | 2020-10-10 |
| 1902412968 | Elizabeth Jane Harbin | Registered Nurse | 810 Curtis Ave, Staten Island, NY 10310-2611 | 2020-09-16 |
| 1205441946 | Laura Innes | Registered Nurse | 6 Aldar Ct, Cortlandt Manor, NY 10567-1304 | 2020-09-10 |
| 1093329831 | Jael Brooks | Registered Nurse | 647 E 232nd St Apt 3a, Bronx, NY 10466-2923 | 2020-08-31 |
| 1730790106 | Heidi Velasquez | Registered Nurse | 29 Stanley St, Inwood, NY 11096-1513 | 2020-08-11 |
| 1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
| Find all providers with the same taxonomy | ||||
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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.