Marie-Lourdes Derisse, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

479264 Issued in NY

Practice address

554 Boston Post Rd # 175
Orange, CT 06477-3341

Phone

(203) 815-9279

NPI assigned

Feb 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1285332916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 BOSTON POST RD",
            "address_2": "175",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "06477",
            "telephone_number": "203-815-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 BOSTON POST RD # 175",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773341",
            "telephone_number": "203-815-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERISSE",
        "first_name": "MARIE-LOURDES",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "479264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee G Delahaye, PA-C
• Jennifer Julia Denardis, PHARMD
• Dental Smiles of Orange LLC
• Department of Veterans Affairs
• Weverton Depaula
• Rashesh Desai, PHARMD
• Nuvdeep Kaur Dhillon
• Marc Diberardino
• John Adam Dinneen, D.C.
• Docs Medical Group

• Case Management Registered Nurse in Orange, CT
• Providers in Orange, CT by specialty
• Case Management Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.