Genevieve P Delisma, M.S IN ED.LEADERSHIP

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

14812 SW 171St Ter
Miami, FL 33187-1778

Phone

(786) 521-7721

NPI assigned

Sep 1, 2011

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

Other names 1

• Genevieve Pierre Louis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457222400000",
    "number": "1386925402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14812 SW 171ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871778",
            "telephone_number": "786-521-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14812 SW 171ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871778",
            "telephone_number": "786-521-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISMA",
        "first_name": "GENEVIEVE",
        "middle_name": "P",
        "credential": "M.S IN ED.LEADERSHIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2016-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "PIERRE LOUIS",
            "credential": "B.S IN PSYCHOLOGY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Delis Medical Center
• Rachelle Delisfort, FNP
• Sabrina Delisfort
• Nicholas James Delisi, PT, DPT
• Tahimy Delisle Bignotte, RN
• Jersly Delisma I
• Kansky J Delisma, MD
• Vickie Delisma II
• Delivering Perfection LLC
• Rochelle Marie Deliz

• Developmental Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2016; 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.