Derric J Vigeant
Physician Assistant in Providence, Rhode Island
1902546203- Practice location
- 825 Chalkstone Ave, Providence, RI 02908-4728
- Phone
- 401-456-2000
- Fax
- —
- Last updated
- May 9, 2022
Derric James Vigeant is a Physician Assistant based in Providence, RI. Derric James Vigeant practices in Providence, RI. The NPI Number for Derric James Vigeant is 1902546203 and holds a License No. PA1450 (RI). The current practice location address for Derric James Vigeant is 825 Chalkstone Ave, Providence, RI 02908-4728 and can be reached out via phone at 401-456-2000.
Provider Profile Details
- NPI Number
- 1902546203
- Provider Name
- Derric James Vigeant
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 825 Chalkstone Ave, Providence, RI 02908-4728
- Phone Number
- 401-456-2000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 1, 2022
- Last Update Date
- May 9, 2022
- Certification Date
- May 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 825 Chalkstone Ave
Providence, RI 02908-4728 - City
- Providence
- State
- Rhode Island
- Zip
- 02908-4728
- Phone Number
- 401-456-2000
Provider Business Mailing Address Details
- Address
- 646 Greenville Ave
Johnston, RI 02919-1331 - City
- Johnston
- State
- RI
- Zip
- 02919-1331
- Phone Number
- 401-426-9887
License Information
- License Number (1)
- PA1450
- License State (1)
- RI
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- PA01450
- License State (2)
- RI
- Taxonomy (2)
- Clinical Nurse Specialist, Psych/Mental Health, Child & Family · 364SP0810X
- Taxonomy (3)
- Physician Assistant · 363A00000X · 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 Derric J Vigeant?
The NPI number of Derric J Vigeant is 1902546203. It was assigned on April 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Derric J Vigeant?
Derric J Vigeant is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in RI under license number PA1450.
Where does Derric J Vigeant practice?
The practice location is 825 Chalkstone Ave, Providence, RI 02908-4728. The office can be reached at 401-456-2000 (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 1902546203 directly on the NPPES registry website.