Peyton Shea Deraleau, DVM

Primary specialty

SpecialistTaxonomy code 174400000X

License

17731 Issued in TX

Practice address

3141 FM 66
Waxahachie, TX 75167-8407

Phone

(972) 937-1120

NPI assigned

Apr 2, 2024

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 names 1

• Ms. Peyton Shea Flemins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1760234066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 COUNTRY DR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751656212",
            "telephone_number": "405-564-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 FM 66",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751678407",
            "telephone_number": "972-937-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERALEAU",
        "first_name": "PEYTON",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "17731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEYTON",
            "last_name": "FLEMINS",
            "middle_name": "SHEA",
            "prefix": "MS.",
            "credential": "DVM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Weaver Griggs Dehay, DDS
• Glenda Delacerda, RN
• Briana Delgado-Garcia, APRN
• Carter James Demars, DDS
• Dental Sleep Medicine of North Texas, PA
• Priscilla Despain
• Albert Dhana, MD
• Elisabeth Diemer
• Discovery Point Retreat
• Discovery Point Retreat Waxahachie Inc.

• Specialist in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.