Jeffrey S Desmarteau, NP

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

990339 Issued in CO

Practice address

4608 W 36TH Ave
Denver, CO 80212-2009

Phone

(303) 379-9371

NPI assigned

Mar 19, 2012

Last updated

Sep 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CICGBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physician Housecalls LLC

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1295789824
  NPD (past)

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1609141043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 W 36TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122009",
            "telephone_number": "303-379-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 W 36TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122009",
            "telephone_number": "303-379-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMARTEAU",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "180328",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "990339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P01063720",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78276837",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Gabrielle Deslandes, LPC
• Melanie Desloge
• Jacob Ryan Deslongchamps, MS, CCC-SLP
• Lucie Desmarais, L.AC.
• Chad Ryan Desmarteau
• Nereida A Despain, RN, BSN
• Sybil Gloria Dessie, MD
• Yeabsira Desta
• Charlotte Detchon
• Whitney Detchon

• Licensed Practical Nurse in Denver, CO
• Providers in Denver, CO by specialty
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.