Giselle Dizon Evora, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

10977P Issued in VI

Practice address

4500 Sion Farm
Island Medical Center, Suite 3B
Christiansted, VI 00820

Phone

(340) 778-5780

NPI assigned

Jan 25, 2007

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in VI

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Michelle N. Dizon, M.D., P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • St Croix, VI
  • NPI 1386762474
  Medicare reassignment NPD
• B I Radiation Oncology Associates

  • Radiation Oncology Clinic/Center
  • New York, NY
  • NPI 1366426942
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1699821793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008210629",
            "telephone_number": "340-778-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SION FARM",
            "address_2": "ISLAND MEDICAL CENTER, SUITE 3B",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-778-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVORA",
        "first_name": "GISELLE",
        "middle_name": "DIZON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303582",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VI",
            "license": "10977P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02975015",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empath Psychological Services
• Maria Alicia Encarnacion, DC
• Maria Espinosa
• Estrat Usvi Inc. (Medix Caribe)
• Wayne Carlton Etheridge, PH.D.
• Stanford L Fabio, D.D.S.
• Family Medicine Associates & Consultants
• Juliss Farrelly
• Chloe Anne Farris, LCSW
• Robyn Keeley Finch, RN

• Adult Health Nurse Practitioner in Christiansted, VI
• Providers in Christiansted, VI by specialty
• Adult Health Nurse Practitioner in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.