Individual
KRISTEN M DEROSA
Active
Individual
KRISTEN M DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC, ACNPC-AG
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2314768
MA
363LN0000X
Neonatal Nurse Practitioner
45177
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104252227
NATIONAL CERTIFICATION CORPORATION: CERTIFICATION ID
—
Enumeration date
07/17/2019
Last updated
02/20/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up