DESTA ROWENA ANTHONY (NPI# 1093721102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093721102 |
| Entity Type | Individual |
| Full Name | DESTA ROWENA ANTHONY |
| Credential | ANP |
| Practice Address |
124 Rugby Rd Syracuse NY 13206-3225 |
| Practice Telephone | 3154371693 |
| Practice Fax Number | 3154371831 |
| Mailing Telephone | 3154371693 |
| Mailing Fax Number | 3154371831 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F303332 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02207207 | 05 |
| Street Address |
124 RUGBY RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13206-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689617136 | Kathleen P. Didonato | Nurse Practitioner | 124 Rugby Rd, Syracuse, NY 13206-3225 | 2006-06-13 |
| 1669662771 | Mobile Np-adult Health of Cny, P.C. | Nurse Practitioner | 124 Rugby Rd, Syracuse, NY 13206-3225 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336248 | Amanda E Vadala | Dietitian, Registered | 216 Conklin Ave, Syracuse, NY 13206 | 2020-08-12 |
| 1265099378 | Trina Leigh-marie Stearns | Licensed Practical Nurse | 525 Mosley Drive, Syracuse, NY 13206 | 2019-05-23 |
| 1821583436 | Jacqueline Amanda Weiner | Marriage & Family Therapist | 3532 James Street, Syracuse, NY 13206 | 2018-06-26 |
| 1447767025 | Reality Awareness Outreach Inc | Peer Specialist | 117 S Collingwood Ave, Syracuse, NY 13206 | 2018-01-04 |
| 1790296325 | Rachel Segrue | Registered Nurse | 420 Ridgewood Dt, Syracuse, NY 13206 | 2017-10-23 |
| 1013391754 | Iva Kay Peterson | Registered Nurse | 308 Nichols Ave, Syracuse, NY 13206 | 2015-07-13 |
| 1730433673 | April Hanson | Licensed Vocational Nurse | 157 South Midler Ave, Syracuse, NY 13206 | 2012-10-30 |
| 1669722237 | Kimberly Tortorici | Specialist | 1951 Caleb Avenue, Syracuse, NY 13206 | 2012-09-11 |
| 1669769394 | Janiqua M Davis | Licensed Practical Nurse | 158 Lynwood Ave, Apt. 1, Syracuse, NY 13206 | 2011-07-01 |
| 1871886960 | Gina Tornatore | Pharmacist | 1820 Teall Ave., Syracuse, NY 13206 | 2011-05-23 |
| Find all providers in zip 13206 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023520038 | Michaela Marie Murphy | Nurse Practitioner | 104 Union Ave Ste 901, Syracuse, NY 13203-1845 | 2017-10-31 |
| 1699299438 | Mary H Ryan | Nurse Practitioner | 302 Ludden Pkwy, Syracuse, NY 13219-3024 | 2017-08-02 |
| 1619302619 | Jennie Marie Doane | Nurse Practitioner | 236 Belle Ave, Syracuse, NY 13205-1938 | 2013-09-09 |
| 1376852129 | Pamela Wilcox Salisbury | Nurse Practitioner | 413 Breakspear Rd, Syracuse, NY 13219-2315 | 2010-09-28 |
| 1295975159 | Carol Ann Carioti | Nurse Practitioner | 101 Hamden Dr, Syracuse, NY 13208-1936 | 2009-03-04 |
| 1720206352 | Mary L. Salerno | Nurse Practitioner | 1007 Court St, Syracuse, NY 13208-1708 | 2007-04-20 |
| 1811030828 | Donna Ann Gillette | Nurse Practitioner | St. Camillus Health & Rehabilitation Center, 813 Fay Rd, Syracuse, NY 13219 | 2007-02-15 |
| 1225186588 | Marguerite H Mallia | Nurse Practitioner | 5075 W Senecatpke, Van Duyn Home & Hospital, Syracuse, NY 13215-2292 | 2007-01-05 |
| 1194837526 | Gail Mccue Donnery | Nurse Practitioner | 1000 E Genesee St Ste 403, Hill Medical Center, Syracuse, NY 13210-1840 | 2006-08-31 |
| 1750384004 | Brenda A Baker | Nurse Practitioner | 739 Irving Ave, Ste 520, Syracuse, NY 13210-1663 | 2005-05-31 |
| Find all providers in SYRACUSE | ||||
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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.