Individual provider Active NPI

Marian J Desrochers, APRN

  • Family Nurse Practitioner
  • Newton, MA
National Provider Identifier
1225008592
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
046248-23 Issued in NH
Practice address
246 Walnut St
Newton, MA 02460-1639
Phone
(617) 244-3322
Fax
(617) 244-1827
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 046248-23 NH Primary

Addresses

Primary practice location

246 Walnut St
Newton, MA 02460-1639

Mailing address

13 Highfield Dr
Allenstown, NH 03275-2622
Phone (603) 268-0332

Other identifiers 1

IdentifierTypeStateIssuer
30342403MedicaidNH

Other names 1

  • Ms. Marian J Gamache Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England, P.C. Family Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1225008592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HIGHFIELD DR",
            "city": "ALLENSTOWN",
            "state": "NH",
            "postal_code": "032752622",
            "telephone_number": "603-268-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 WALNUT ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601639",
            "telephone_number": "617-244-3322",
            "fax_number": "617-244-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROCHERS",
        "first_name": "MARIAN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "046248-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30342403",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAN",
            "last_name": "GAMACHE",
            "middle_name": "J",
            "prefix": "MS.",
            "credential": "A.R.N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.