Jennifer Derossi-Dacosta, RN, CDE, CDOE
Registered Nurse, Diabetes Educator in Pawtucket, Rhode Island
1063883270- Practice location
- 111 Brewster Street, Cnemg Primary Care And Specialty Services, Pawtucket, RI 02860-4474
- Phone
- 401-729-2238
- Fax
- 401-729-2923
- Last updated
- January 22, 2020
Jennifer Derossi-Dacosta is a Registered Nurse, Diabetes Educator based in Pawtucket, RI. Jennifer Derossi-Dacosta practices in Pawtucket, RI and has the professional credentials of RN, CDE, CDOE. The NPI Number for Jennifer Derossi-Dacosta is 1063883270 and holds a License No. RN51935 (RI). The current practice location address for Jennifer Derossi-Dacosta is 111 Brewster Street, Cnemg Primary Care And Specialty Services, Pawtucket, RI 02860-4474 and can be reached out via phone at 401-729-2238 and via fax at 401-729-2923.
Provider Profile Details
- NPI Number
- 1063883270
- Provider Name
- Jennifer Derossi-Dacosta
- Credential
- RN, CDE, CDOE
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 111 Brewster Street, Cnemg Primary Care And Specialty Services, Pawtucket, RI 02860-4474
- Phone Number
- 401-729-2238
- Fax Number
- 401-729-2923
- Primary Taxonomy
- Registered Nurse, Diabetes Educator · 163WD0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 14, 2015
- Last Update Date
- January 22, 2020
- Certification Date
- January 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Brewster Street
Cnemg Primary Care And Specialty Services
Pawtucket, RI 02860-4474 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-4474
- Phone Number
- 401-729-2238
- Fax Number
- 401-729-2923
Provider Business Mailing Address Details
- Address
- 455 Toll Gate RD
Warwick, RI 02886-2759 - City
- Warwick
- State
- RI
- Zip
- 02886-2759
- Phone Number
- 401-273-0641
License Information
- License Number (1)
- RN51935
- License State (1)
- RI
- Taxonomy (1)
- Registered Nurse, Diabetes Educator · 163WD0400X · Primary
- License Number (2)
- RN51935
- License State (2)
- RI
- Taxonomy (2)
- Health Educator · 174H00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurse, Diabetes Educators near Pawtucket, RI
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Frequently Asked Questions
What is the NPI number of Jennifer Derossi-Dacosta, RN, CDE, CDOE?
The NPI number of Jennifer Derossi-Dacosta, RN, CDE, CDOE is 1063883270. It was assigned on October 14, 2015 and is currently active in the NPPES registry.
What is the specialty of Jennifer Derossi-Dacosta, RN, CDE, CDOE?
Jennifer Derossi-Dacosta, RN, CDE, CDOE is registered under the primary taxonomy Registered Nurse, Diabetes Educator (code 163WD0400X), licensed in RI under license number RN51935.
Where does Jennifer Derossi-Dacosta, RN, CDE, CDOE practice?
The practice location is 111 Brewster Street, Cnemg Primary Care And Specialty Services, Pawtucket, RI 02860-4474. The office can be reached at 401-729-2238 (phone) or 401-729-2923 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063883270 directly on the NPPES registry website.