Krista Derosa
Registered Nurse, Nurse Massage Therapist (NMT) in Middlebury, Connecticut
1245696798- Practice location
- 590 Middlebury RD, Middlebury, CT 06762-2562
- Phone
- 860-866-7115
- Fax
- —
- Last updated
- January 13, 2016
Krista Derosa is a Registered Nurse, Nurse Massage Therapist (NMT) based in Middlebury, CT. Krista Derosa practices in Middlebury, CT. The NPI Number for Krista Derosa is 1245696798 and holds a License No. 128313 (CT). The current practice location address for Krista Derosa is 590 Middlebury RD, Middlebury, CT 06762-2562 and can be reached out via phone at 860-866-7115.
Provider Profile Details
- NPI Number
- 1245696798
- Provider Name
- Krista Derosa
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 590 Middlebury RD, Middlebury, CT 06762-2562
- Phone Number
- 860-866-7115
- Primary Taxonomy
- Registered Nurse, Nurse Massage Therapist (NMT) · 163WM1400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 13, 2016
- Last Update Date
- January 13, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 590 Middlebury RD
Middlebury, CT 06762-2562 - City
- Middlebury
- State
- Connecticut
- Zip
- 06762-2562
- Phone Number
- 860-866-7115
Provider Business Mailing Address Details
- Address
- 177 Front St
Middletown, CT 06457-4464 - City
- Middletown
- State
- CT
- Zip
- 06457-4464
- Phone Number
- 860-866-7115
License Information
- License Number (1)
- 128313
- License State (1)
- CT
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 006291
- License State (2)
- CT
- Taxonomy (2)
- Registered Nurse, Nurse Massage Therapist (NMT) · 163WM1400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Krista Derosa?
The NPI number of Krista Derosa is 1245696798. It was assigned on January 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Krista Derosa?
Krista Derosa is registered under the primary taxonomy Registered Nurse, Nurse Massage Therapist (NMT) (code 163WM1400X), licensed in CT under license number 128313.
Where does Krista Derosa practice?
The practice location is 590 Middlebury RD, Middlebury, CT 06762-2562. The office can be reached at 860-866-7115 (phone).
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 1245696798 directly on the NPPES registry website.