MRS. NANCY DIANE DEROSA (NPI# 1205848009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205848009 |
| Entity Type | Individual |
| Full Name | MRS. NANCY DIANE DEROSA |
| Credential | ARNP |
| Practice Address |
289 Ireland Ave Fort Knox KY 40121-5111 |
| Mailing Address |
4540 Wooldridge Ferry Rd Elizabethtown KY 42701-6136 |
| Practice Telephone | 5026249007 |
| Mailing Telephone | 2707374832 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4590P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043438013 | Nancy Marie Derosa | Nurse Practitioner | 55 Fruit St, Jackson 121, Boston, MA 02114-2621 | 2007-04-23 |
| Street Address |
289 IRELAND AVE |
| City | FORT KNOX |
| State | KY |
| Zip Code | 40121-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263775 | Linda Jean Anderson | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2005-05-23 |
| 1770067183 | Marsha Ann Paul | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2018-09-20 |
| 1548789803 | Vickie Davidson | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-09-18 |
| 1245755560 | Alysha Aldridge | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1033634365 | Andraya Clark | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2017-08-08 |
| 1639628688 | Lisa L Campbell | Pharmacist | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2016-09-30 |
| 1134675689 | Wendy Lee | Dental Hygienist | 289 Ireland Ave, Hospital Dental Clinic Bldg 851, Fort Knox, KY 40121-5111 | 2016-08-25 |
| 1730531104 | Derek A Albright | Dental Assistant | 289 Ireland Ave, Hospital Dental Clinic Bldg 851, Fort Knox, KY 40121-5111 | 2016-07-08 |
| 1104287234 | Laurel Alexander Darhali | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2016-03-17 |
| 1164889176 | Andres Perez | Emergency Medicine | 289 Ireland Ave, Ireland Army Community Hospital Emergency Deparment, Fort Knox, KY 40121-5111 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141543 | Noah M Christopher | Dentist | Bldg 1022, Rm 226, 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2018-07-23 |
| 1043736812 | Amanda Gani | Pharmacist | 6289 Clairborne Street, Margetis Bldg, Fort Knox, KY 40121 | 2017-08-14 |
| 1922541937 | National Vision, Inc. | Technician/Technologist | Bldg 127 Gold Vault Ave, Fort Knox, KY 40121 | 2016-11-22 |
| 1154873602 | Karen Patrice Kimble | Dental Assistant | 398 192nd Armored Tank Bn Road, Fort Knox, KY 40121 | 2016-11-01 |
| 1144634577 | James Henry Martineau | Dentist | 968 1st Infantry Division Road, Jordan Dental Clinic (bldg 2724, Fort Knox, KY 40121 | 2014-06-13 |
| 1073751806 | Lori L Hill | Speech-Language Pathologist | 1411 B 4th Ave, Fort Knox, KY 40121 | 2009-02-02 |
| 1225233547 | Ireland Army Community Hospital | Clinic/Center | 2724 Brave Rifles Regiment Avenue, Fort Knox, KY 40121 | 2007-06-18 |
| 1619090032 | Marcus Franklin | Pharmacist | Ireland Loop Bldg 851, Pharmacy Service, Ft. Knox, KY 40121 | 2007-04-09 |
| 1558404699 | Sonia Mills | Psychologist | 433 192nd Armored Tank Bn Rd, Building 853, Fort Knox, KY 40121 | 2007-02-15 |
| 1932250487 | Morgan Ann Brissette | Nurse Practitioner | 4286 Oakland Avenue, Fort Knox, KY 40121 | 2007-01-12 |
| Find all providers in zip 40121 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063490779 | Kathleen W Robbins | Nurse Practitioner | 289 Ireland Ave, Fort Knox, KY 40121-5111 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275003519 | Tereza J Peercy | Nurse Practitioner | 3809 Carriage Pointe Dr, Crestwood, KY 40014-8537 | 2018-11-29 |
| 1063913986 | Tara Lynn Denton | Nurse Practitioner | 1425 W Broadway, Louisville, KY 40203-2059 | 2018-02-26 |
| 1780131037 | Stacey Gaunce | Nurse Practitioner | 956 Lower Hatcher Creek Rd, Stanton, KY 40380-9765 | 2016-09-03 |
| 1043686561 | Ashley Barton | Nurse Practitioner | Us-25e Cumberland Gap Parkway, Gray, KY 40734 | 2015-08-19 |
| 1093107781 | Lecresha Sewell | Nurse Practitioner | 4123 Dutchmans Ln Ste 250, Louisville, KY 40207-4707 | 2015-03-04 |
| 1679824882 | Cheryl Yvette Wofford | Nurse Practitioner | 3307 Breckenridge Ln, Louisville, KY 40220-3213 | 2012-09-27 |
| 1043570328 | Misty H Powers | Nurse Practitioner | 2851 New Hartford Rd # B, Owensboro, KY 42303-1320 | 2012-05-21 |
| 1255655155 | Leslie Denise Simmons | Nurse Practitioner | 1858 Old Lebanon Rd, Campbellsville, KY 42718-9663 | 2010-03-22 |
| 1326287905 | Aesthetic Associates & Women's Health LLC | Nurse Practitioner | 112 Keeton Dr, Hopkinsville, KY 42240-8756 | 2009-02-05 |
| 1215182951 | Womens Center for Gynecology and Bladder Disorders | Nurse Practitioner | 5512 Bardstown Rd, Louisville, KY 40291-1910 | 2008-11-21 |
| 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.