Active NPI
Evelyn Derocher, RRT
- Registered Respiratory Therapist
- Port Saint Lucie, FL
National Provider Identifier
1568696466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- RT 760
- Practice address
- 5575 NW Wesley CT
Port Saint Lucie, FL 34986-4232 - Phone
- (305) 301-4416
- NPI assigned
- May 6, 2009
- Last updated
- May 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 Respiratory Therapist | 227900000X | RT 760 | FL | Primary |
Addresses
Primary practice location
5575 NW Wesley CT
Port Saint Lucie, FL 34986-4232
Mailing address
5575 NW Wesley CT
Port Saint Lucie, FL 34986-4232
Phone (305) 301-4416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RT 760 | Other | FL | RESPIRATORY THERAPIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT 760 | FL | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241568000000",
"number": "1568696466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 NW WESLEY CT",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349864232",
"telephone_number": "305-301-4416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 NW WESLEY CT",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349864232",
"telephone_number": "305-301-4416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROCHER",
"first_name": "EVELYN",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-06",
"last_updated": "2009-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "FL",
"license": "RT 760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESPIRATORY THERAPIST",
"identifier": "RT 760",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.