Fransise Derezil

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

AL12659 Issued in FL

Practice address

256 SW Moselle Ave
Port St Lucie, FL 34984-5028

Phone

(718) 838-4313

Fax

(772) 237-2234

NPI assigned

Jul 21, 2015

Last updated

Jul 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rose Assisted Living Facility, LLC.

  • Respite Care
  • Port St Lucie, FL
  • NPI 1578932489
  Authorized official Same address or phone

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1902281884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 SW MOSELLE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845028",
            "telephone_number": "718-838-4313",
            "fax_number": "772-237-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SW MOSELLE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845028",
            "telephone_number": "718-838-4313",
            "fax_number": "772-237-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEREZIL",
        "first_name": "FRANSISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "AL12659",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "FL",
            "license": "AL12659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessandra Feola Demopoulos, BCBA
• Paul Kenneth Dempsey, LCSW MCAP ICADC
• Dennar Dialysis, LLC (Gatlin Kidney Care)
• Dental Arts of St Lucie West Inc
• Dentistry by Design, LLC
• Rachelle Arseneau Dermody, DMD
• Davene Alexandra Derosier, APRN
• Nadege Dervis, PT
• Anil Desai, M.D.
• Edwidge Desanges

• Nursing Home Administrator in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Nursing Home Administrator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.