Deriviere Medical Corporation

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

202190 Issued in MA

Legal business name

DERIVIERE MEDICAL CORPORATION

Practice address

156 Highland Ave
Somerville, MA 02143-1534

Phone

(617) 623-1732

Fax

(617) 628-0753

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Wichnite Deriviere, RN

Title

President

Phone

(617) 596-1947

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1841433091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 HIGHLAND AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431534",
            "telephone_number": "617-623-1732",
            "fax_number": "617-628-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 HIGHLAND AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021431534",
            "telephone_number": "617-623-1732",
            "fax_number": "617-628-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERIVIERE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "DERIVIERE",
        "authorized_official_first_name": "WICHNITE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-596-1947",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MA",
            "license": "202190",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MA",
            "license": "202190",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "202190",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MA",
            "license": "202190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Deoliveira-Souza, CNM
• Madeline Rai Depalma, LICSW
• Nicole Ann Depaolo, MD STUDENT
• Venicia Yasmeen Derac, LPN
• Rosamaria Cauteruccio Derany, RN
• Amanda Derosa, OTR/L
• Nikita Desai, WHNP-BC
• Prium Deshmukh, M.D.
• Manouchka Desir
• Nadege Desir, LPN

• Nursing Care Agency in Somerville, MA
• Providers in Somerville, MA by specialty
• Nursing Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.