Christine E Derks

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

373223 Issued in NY

Practice address

1401 State Rd
Webster, NY 14580-9339

Phone

(585) 217-5307

Fax

(585) 872-7781

NPI assigned

Mar 21, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1952805301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SOUTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803559",
            "telephone_number": "585-216-3600",
            "fax_number": "585-265-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 STATE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809339",
            "telephone_number": "585-217-5307",
            "fax_number": "585-872-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERKS",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "373223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Deisenroth
• James Phillip Delgaudio, RPH
• Cynthia S Dellavilla, LMSW
• John Denaro IV, BC-HIS
• Susan Perry Denoto
• Christopher Devos, DPT
• Curt R Deweese, PT
• Haley Dibiase, LAC
• John S Dierna, DC
• Gerard S Difusco, D.M.D.

• Registered Nurse in Webster, NY
• Providers in Webster, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.