Evelyn Dejesus, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN253053 Issued in MA

Practice address

4016 52ND Avenue CT NW
Gig Harbor, WA 98335-7632

Phone

(855) 302-9191

NPI assigned

Apr 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• North-Star Care

  • Addiction Medicine (Internal Medicine) Physician
  • Fox Island, WA
  • NPI 1467169581
  NPD
• North-Star Care of California PC

  • Addiction Medicine (Internal Medicine) Physician
  • Gig Harbor, WA
  • NPI 1922861145
  NPD

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1619662665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 52ND AVENUE CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 52ND AVENUE CT NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983357632",
            "telephone_number": "855-302-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "EVELYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN253053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Dawson, LMP
• Deborah Dean, MA
• Melanie Renee Dean, RD
• Debra M. Enneking DDS, Inc.
• Sean Deilgat
• Carole Ann Demarco, PHD
• Glenda Dematty, LMHC
• Christin Diane Derig, AGPCNP
• Zona L Dering, RN
• Desiree Gaffney, Ma, LMHC, LLC

• Registered Nurse in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.