Active NPI
Edwidge Desanges
- Nurse's Aide
- Port St Lucie, FL
National Provider Identifier
1710732995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 333686
- Practice address
- 430 SW Dahled Ave
Port St Lucie, FL 34953-4026 - Phone
- (561) 870-3618
- NPI assigned
- Apr 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 333686 | FL | Primary |
Addresses
Primary practice location
430 SW Dahled Ave
Port St Lucie, FL 34953-4026
Mailing address
430 SW Dahled Ave
Port St Lucie, FL 34953-4026
Phone (561) 870-3618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333686 | FL | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doudges Services LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Assisted Living Facility
- Port St Lucie, FL
- NPI 1710727011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713571200000",
"number": "1710732995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 SW DAHLED AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349534026",
"telephone_number": "561-870-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 SW DAHLED AVE",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349534026",
"telephone_number": "561-870-3618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESANGES",
"first_name": "EDWIDGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-20",
"last_updated": "2024-04-20",
"certification_date": "2024-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "333686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.