Individual provider Active NPI

Marylou Derimais

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1962316372
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
2101409821 Issued in NV
Practice address
1902 Santa Paula Dr
Las Vegas, NV 89104-2400
Phone
(702) 769-0584
Fax
(702) 836-0972
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 2101409821 NV Primary

Addresses

Primary practice location

1902 Santa Paula Dr
Las Vegas, NV 89104-2400

Mailing address

1902 Santa Paula Dr
Las Vegas, NV 89104-2400
Phone (702) 769-0584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1962316372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 SANTA PAULA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042400",
            "telephone_number": "702-769-0584",
            "fax_number": "702-836-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 SANTA PAULA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042400",
            "telephone_number": "702-769-0584",
            "fax_number": "702-836-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERIMAIS",
        "first_name": "MARYLOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NV",
            "license": "2101409821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.