Nadege Desrivieres

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

318672 Issued in NY

Practice address

3636 33Rd St
Astoria, NY 11106-2329

Phone

(718) 224-0262

NPI assigned

Apr 17, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1134782832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9343 212TH PL",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281602",
            "telephone_number": "347-556-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 33RD ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062329",
            "telephone_number": "718-224-0262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Glenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Glenwood Landing",
            "state": "NY",
            "postal_code": "115473052",
            "country_code": "US",
            "telephone_number": "718-224-0262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESRIVIERES",
        "first_name": "NADEGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "318672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pednursedege",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3636 33rd St",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111062329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gustavo Raul Depetris, MD
• Laura Derubeis-Byrne
• Jill Deruga
• Designer Optical of Steinway Street Inc.
• Richard W Desmond, M.D.
• Muriel Dethomas, LCSW, QCSW
• Richard Di Fiore, MD
• Reno G Di Scala, M.D.
• Diabetic Care RX LLC
• Andrew Dorian Diakiwski, MA, MED

• Licensed Practical Nurse in Astoria, NY
• Providers in Astoria, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.