Active NPI
Deepa Ganesan, MSN
- Family Nurse Practitioner
- Wilmington, DE
National Provider Identifier
1487222477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 75385327
- Practice address
- 2724 E Riding Dr
Wilmington, DE 19808-3643 - Phone
- (646) 889-3980
- NPI assigned
- Jun 15, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Family Nurse Practitioner | 363LF0000X | 75385327 | MD | Primary |
Addresses
Primary practice location
2724 E Riding Dr
Wilmington, DE 19808-3643
Mailing address
2724 E Riding Dr
Wilmington, DE 19808-3643
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deepa@kangaroohealth.com | Direct | KangarooHealth, Inc. |
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75385327 | MD | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1487222477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 E RIDING DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198083643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2724 E RIDING DR",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198083643",
"telephone_number": "646-889-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANESAN",
"first_name": "DEEPA",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2024-02-12",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "75385327",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deepa@kangaroohealth.com",
"affiliation": "Y",
"endpointDescription": "Work Email",
"affiliationName": "KangarooHealth, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2627 Hanover St",
"city": "Palo Alto",
"state": "CA",
"country_code": "US",
"postal_code": "943041118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.