Theresa Jeanne Desilets, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

0462352305 Issued in NH

Practice address

590 Court St
Internal Medicine
Keene, NH 03431-1719

Phone

(603) 354-5454

NPI assigned

Oct 17, 2006

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

Other identifiers 1

Other names 1

• Theresa Jeanne Deroche Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: tdesilets32061@direct.dartmouth-hitchcock.org

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689754160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ALGONQUIN DR",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311810",
            "telephone_number": "603-355-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COURT ST",
            "address_2": "INTERNAL MEDICINE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311719",
            "telephone_number": "603-354-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESILETS",
        "first_name": "THERESA",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "0462352305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ONP2165",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "DEROCHE",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen Marie Denoncour, B.A.
• Dental Health Works of Cheshire County
• Anna Depasquale
• Neil Desai
• Jeffrey B Desiero
• Jennifer L Desmarais
• Mary Christina Devine, DC
• Lily Marilyn Deware
• Dewey R. Miller, D.M.D., P.a.
• Tracey M Dewey

• Adult Health Nurse Practitioner in Keene, NH
• Providers in Keene, NH by specialty
• Adult Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.