Desiree Driver, SC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2417 Welsh Rd Ste 209
Philadelphia, PA 19114-2211

Phone

(215) 214-5104

Fax

(800) 218-2559

NPI assigned

Mar 31, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Ray of Sunshine Caregiving Services LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
  • NPI 1376324822
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1124656467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 WELSH RD STE 209",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142211",
            "telephone_number": "215-214-5104",
            "fax_number": "800-218-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 WELSH RD STE 209",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142211",
            "telephone_number": "215-214-5104",
            "fax_number": "800-218-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIVER",
        "first_name": "DESIREE",
        "name_prefix": "Ms.",
        "credential": "SC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103496547-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald Francis Driscoll Jr., CRNP
• Kevin Robert Driscoll, RN
• Olivia Marie Driscoll, PA-C
• Theodore George Drivas, MD, PHD
• Drive to Thrive Home Healthcare LLC
• Paul J Driver, M.D.
• John Michael Dronson
• Leah Dronson
• Marie Droogan, CRNP
• Jason Drott

• Case Manager/Care Coordinator in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.