Individual provider Active NPI

Danielle Desroches, APRN

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1619451366
Registry record updated Jun 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9270787 Issued in FL
Practice address
10071 Montague St
Tampa, FL 33626-1855
Phone
(321) 208-2390
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9270787 FL Primary

Addresses

Primary practice location

10071 Montague St
Tampa, FL 33626-1855

Mailing address

10071 Montague St
Tampa, FL 33626-1855
Phone (321) 208-2390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WY, CO, IA, NM, ID, NY, AZ, NV, OR, AK, WA, VA, ME, UT15 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
I20190820003542 FL Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20231016003646 WY Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20231102003789 CO Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20231109000691 IA Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20231121001540 NM Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20231211001465 ID Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20231213000742 NY Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20231215002170 AZ Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20240216003204 NV Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20240216003550 OR Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20240216003819 AK Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20240217000453 WA Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20240311002449 VA Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20240718003024 ME Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization
I20250505002802 UT Practitioner - Nurse Practitioner 9638407224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9270787FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 3, 2023 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Oct 5, 2020 Accepting new patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Oct 30, 2023 Accepting new patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 18, 2023 Accepting new patients

Locations

247 S Alaska St
Palmer, AK 99645
Phone (907) 215-2353

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

6 City Ctr
Portland, ME 04101

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

1712 Pioneer Ave
Cheyenne, WY 82001
Phone (307) 222-0371

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592611200000",
    "number": "1619451366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10071 MONTAGUE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261855",
            "telephone_number": "321-208-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10071 MONTAGUE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261855",
            "telephone_number": "321-208-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROCHES",
        "first_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9270787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.