Individual provider Active NPI

Derek M Tessier, RNP

  • Family Nurse Practitioner
  • Providence, RI
National Provider Identifier
1891718623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPP32199 Issued in RI
Practice address
593 Eddy St
Apc 135
Providence, RI 02903-4923
Phone
(401) 444-2453
Fax
(401) 444-3486
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NPP32199 RI Primary

Addresses

Primary practice location

593 Eddy St
Apc 135
Providence, RI 02903-4923

Mailing address

385 Westminster St
Unit 5B
Providence, RI 02903-3233
Phone (401) 444-2453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20240202001010 RI Practitioner - Nurse Practitioner 1052337995 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NPP32199RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital CurrentSince Dec 6, 2023 Accepting new patients
Rhode Island Hospital CurrentSince Dec 6, 2023 Accepting new patients
Lifespan Corporation Current Accepting new patients
Barreto & Schwartz Psychology Associates PC Inc Past Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
#138
Providence, RI 02903
Phone (401) 444-5291

593 Eddy St
#135
Providence, RI 02903
Phone (401) 444-2453

593 Eddy St
Providence, RI 02903

Interoperability endpoints

  • Direct secure messaging: dtessier9987@brownhealth.medalliesdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891718623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 WESTMINSTER ST",
            "address_2": "UNIT 5B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033233",
            "telephone_number": "401-444-2453",
            "fax_number": "401-444-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "APC 135",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-2453",
            "fax_number": "401-444-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSIER",
        "first_name": "DEREK",
        "middle_name": "M",
        "credential": "RNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP32199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.