MONICA DERYCKERE (NPI# 1154965531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154965531 |
Entity Type | Individual |
Full Name | MONICA DERYCKERE |
Practice Address |
8424 Naab Rd Ste 1l Indianapolis IN 46260-1954 |
Mailing Address |
416 N New Jersey St Apt G Indianapolis IN 46204-1535 |
Practice Telephone | 3173387780 |
Mailing Telephone | 3176505653 |
Enumeration Date | 2019-10-29 |
Last Update Date | 2019-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
28224168A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
8424 NAAB RD STE 1L |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46260-1954 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942283544 | Patrick Joseph Healey | Internal Medicine | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2005-11-29 |
1871149567 | Denise Raley Saxman | Social Worker | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2019-08-17 |
1114407699 | Mary Katherine Molloy | Social Worker | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2018-08-15 |
1144707969 | Cristina Helena Davis | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2018-07-24 |
1811425382 | Kathleen Kelli Weaver | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2017-05-30 |
1285087676 | Kristin Keller | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2016-07-20 |
1164889713 | Cheryl Warriner | Social Worker | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2016-01-26 |
1689063984 | Kelly Freeman | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2015-01-10 |
1366718405 | Staci L Hollar | Internal Medicine | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2012-03-22 |
1598074692 | Danielle L Davis | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2010-10-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
Find all providers in zip 46260 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417567249 | Sarah E Munson | Nurse Practitioner | 1633 N Capitol Ave Ste 680, Indianapolis, IN 46202-1281 | 2020-08-06 |
1750844890 | Sarah Kathleen Cherry | Nurse Practitioner | 4326 Maldenhair Dr, Indianapolis, IN 46239-9033 | 2019-04-06 |
1184103459 | Katherine Rose Ahaus | Nurse Practitioner | 1801 Senate Blvd Ste 230, Indianapolis, IN 46202-1252 | 2018-08-08 |
1386197770 | Masita Isabel Poray | Nurse Practitioner | 5435 E 16th St Ste 500, Indianapolis, IN 46218-4869 | 2016-08-02 |
1316370612 | Paradigm Living Concepts, LLC | Nurse Practitioner | 8904 Bash St Ste B, Indianapolis, IN 46256-1286 | 2013-08-10 |
1902414709 | Michelle Nicole Gibson | Nurse Practitioner | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 2020-07-17 |
1467081455 | Sarah Elizabeth Wheeler | Nurse Practitioner | 1801 N Senate Blvd Ste 635, Indianapolis, IN 46202-1212 | 2020-04-02 |
1699318592 | Marcy Penrod | Nurse Practitioner | 8333 Naab Rd, Indianapolis, IN 46260-5924 | 2019-10-23 |
1124677000 | Amanda Marie Mccoy Ignaut | Nurse Practitioner | 1402 E County Line Rd, Indianapolis, IN 46227-0963 | 2019-09-04 |
1508424953 | Brett Allen Kotowski | Nurse Practitioner | 2010 N Capitol Ave, Indianapolis, IN 46202-1222 | 2019-05-31 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46260 |
Please comment or provide details below to improve the information on MONICA DERYCKERE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.