REBECCA LYNN DEROSSETT (NPI# 1194375576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194375576 |
| Entity Type | Individual |
| Full Name | REBECCA LYNN DEROSSETT |
| Practice Address |
30 Hidden Brook Way Culloden WV 25510-9190 |
| Mailing Address |
Po Box 279 Cabin Creek WV 25035-0279 |
| Practice Telephone | 3043905709 |
| Mailing Telephone | 3045561060 |
| Mailing Fax Number | 3045561066 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
102685 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 HIDDEN BROOK WAY |
| City | CULLODEN |
| State | WV |
| Zip Code | 25510-9190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104117761 | Diversicare Rose Terrace, LLC | Skilled Nursing Facility | 30 Hidden Brook Way, Culloden, WV 25510 | 2011-04-29 |
| 1487178331 | Lifetree Medical Services, LLC | Nurse Practitioner | 30 Hidden Brook Way, Culloden, WV 25510-9190 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831475227 | Bobbie Jane Taylor | Nurse Practitioner | 16 James Cir, Culloden, WV 25510-9049 | 2011-10-29 |
| 1912517434 | John Paul Lombardi | Technician | 16 James Cir, Culloden, WV 25510-9049 | 2020-08-10 |
| 1255945168 | Michael Joseph West | Technician | 1025 Holley Brook Dr, Culloden, WV 25510-9359 | 2020-09-08 |
| 1174075659 | Maggie Collins | Specialist/Technologist | 1017 Holley Brook Dr, Culloden, WV 25510-9359 | 2016-10-31 |
| 1871907865 | Keelee Goode | Specialist | 1027 Jane Dr, Culloden, WV 25510-9512 | 2014-06-17 |
| 1720569601 | Amber Foreman | Case Manager/Care Coordinator | 2188 Dudding Ln, Culloden, WV 25510-9556 | 2018-08-28 |
| 1427660430 | Chelsea Renea Call | Technician | 139 E 1st St, Culloden, WV 25510-9689 | 2020-08-20 |
| 1043821150 | Johnifer Sue Chapman-glagg | Technician | 2071 Main St, Culloden, WV 25510-9747 | 2020-08-12 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831475227 | Bobbie Jane Taylor | Nurse Practitioner | 16 James Cir, Culloden, WV 25510-9049 | 2011-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517259 | Jeniffer Rachelle Wickline | Nurse Practitioner | 1265 Maplewood Ave, Lewisburg, WV 24901-9478 | 2020-10-27 |
| 1497354047 | Sara L Clayborne | Nurse Practitioner | 130 N Queens Ct, Huntington, WV 25705-3736 | 2020-10-23 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1568069110 | Sarah Michelle Jones | Nurse Practitioner | 198 Morgantown St Unit 2, Bruceton Mills, WV 26525-5003 | 2020-10-07 |
| 1114524287 | Mary E Christian | Nurse Practitioner | 2107 Pike St Ste 3, Parkersburg, WV 26101-6973 | 2020-10-02 |
| 1376140517 | Katheryn Sue Marsh | Nurse Practitioner | 94 W Main St Ste 202, Buckhannon, WV 26201-2376 | 2020-10-01 |
| 1114534567 | Natalie Renee Warner | Nurse Practitioner | 601 Colliers Way Ste 502, Weirton, WV 26062-5014 | 2020-09-29 |
| 1942816137 | Angela Renee Goff | Nurse Practitioner | 119 Main St W Ste A, Oak Hill, WV 25901-2972 | 2020-09-22 |
| 1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
| 1407462070 | Lindsey King | Nurse Practitioner | 122 Waterside Cir, Winfield, WV 25213-9551 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REBECCA LYNN DEROSSETT.
| 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.