Active NPI
Raquel Derian
- Registered Nurse
- Toledo, OH
National Provider Identifier
1225408602
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Mar 18, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.301711
- Practice address
- 3350 Collingwood Blvd
Toledo, OH 43610-1173 - Phone
- (419) 255-9585
- NPI assigned
- Sep 29, 2015
- Last updated
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.301711 | OH | Primary |
Addresses
Primary practice location
3350 Collingwood Blvd
Toledo, OH 43610-1173
Mailing address
3350 Collingwood Blvd
Toledo, OH 43610-1173
Phone (419) 255-9585
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.301711 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1225408602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 COLLINGWOOD BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436101173",
"telephone_number": "419-255-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 COLLINGWOOD BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436101173",
"telephone_number": "419-255-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERIAN",
"first_name": "RAQUEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.301711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.