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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMENICA RAPPA, RN, FNP

Deactivated Sole Proprietor

Family Nurse Practitioner · PORT JEFFERSON, NY

This NPI has been deactivated. The record was deactivated on June 7, 2016. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1255677480
Provider Type
Individual
Gender
Female
NPI Issued
Dec 16, 2012 (3.4754098360656 yrs)
Last Updated
Mar 23, 2023
Deactivated
Jun 7, 2016
Licenses
645874 (NY)
344016 (NY)
Sole Proprietor
Yes

Practice Information

Address
MATHER HOSPITAL
75 N COUNTRY ROAD
PORT JEFFERSON, NY, 11777
Browse NY providers · Browse ZIP 11777
Phone
6314731320
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in PORT JEFFERSON, NY

Name Credential NPI
THERESA GRIMES FNP-BC 1912910910
MARGARET MARY COFFEY NP 1376652461
MARSHEL MARION SINGLETON RN 1053710822
MRS. DEANNA AMBER SPENCE NURSE PRACTITIONER 1659858744
KATLYN ANN CONVILLE ANTHONY NP 1023679503
EUGENE MATTHEW DANIEL ARENA NP 1356997308
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.