CAROLINE F DERICHEMOND


Address: 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027
Phone: 5708086020

CAROLINE F DERICHEMOND (NPI# 1477535318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477535318
Entity Type Individual
Full Name CAROLINE F DERICHEMOND
Other Name CAROLINE F GRAHAM
Credential CRNP
Practice Address 1000 E Mountain Blvd
Wilkes Barre
PA 18711-0027
Mailing Address 100 N Academy Ave
Danville
PA 17822-4903
Practice Telephone 5708086020
Practice Fax Number 5708082306
Mailing Telephone 5702716144
Mailing Fax Number 5702716578
Enumeration Date 2005-11-16
Last Update Date 2020-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner SP007053 PA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
SP007053 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1000 E MOUNTAIN BLVD
City WILKES BARRE
State PA
Zip Code 18711-0027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841292943 Robert A Rostock Specialist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2005-06-02
1396342994 Haley Stackhouse Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-10-06
1346852670 Nicholas John Preston Pharmacist 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-08-18
1497363816 Ashley Hine Surgery 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-07-22
1851919971 Chelsea Pieshefski Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-07-07
1437776150 Alyssa M Callela Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-29
1679199848 Gabrielle Cristina Roberts Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-23
1194341602 Kylie Morgan Verespy Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-06-20
1346865680 Jillian Theresa Butkiewicz Physician Assistant 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-06-12
1902426711 Belinda Sibanda Student in an Organized Health Care Education/Training Program 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 2020-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467924274 Leeann Kayal Nurse Practitioner 111 East End Boulevard, Wilkes Barre, PA 18711 2018-12-19
1336661701 Patricia Dworak Occupational Therapist 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 2017-07-07
1992160352 Hope Danishanko Social Worker 111 East End Blvd, Wilkes Barre, PA 18711 2015-12-29
1477962785 Jennifer L. Heck Physical Therapist 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 2014-08-12
1821338807 Melinda Flaim Physical Therapist 1555 East End Blvd, Wilkes Barre, PA 18711 2013-02-27
1598900953 Elizabeth Patricia Keating Pharmacist 1000 East Mountain Drive, Wilkes Barre, PA 18711 2008-12-12
1457433294 Christopher William O'brien Specialist/Technologist King's College, 133 North River Street, Wilkes-barre, PA 18711 2006-10-20
1821197450 Louis Jay Freedman Obstetrics & Gynecology Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 2006-09-21
1730282625 Natalia N Belikova Internal Medicine 1111 East End Boulvard, Wilkesbarre, PA 18711 2006-09-06
1609883628 Va Medical Center General Acute Care Hospital 1111 East End Blvd., Wilkes-barre, PA 18711 2006-08-02
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043778236 Jill Nicole Stahl Nurse Practitioner 677 Kidder St, Wilkes Barre, PA 18702-6908 2019-03-06
1306351028 Nicole Lyn Dominick Nurse Practitioner 1130 Highway 315 Blvd Ste 4, Wilkes Barre, PA 18702-6952 2017-12-04
1578089884 Jamie Lynn Konschnik Nurse Practitioner 1620 Highway 315 Blvd, Wilkes Barre, PA 18702-7125 2017-08-17
1437165305 Tara Ann Allissa Cywinski Nurse Practitioner 545 River Street, 220, Wilkes Barre, PA 18702 2006-07-31
1588612246 Deborah L. Torres Nurse Practitioner 15 Public Sq Ste 600, Wilkes Barre, PA 18701-1704 2006-05-05
1801889514 Richard Edward Bunton Nurse Practitioner 6 Wildflower Dr., Wilkes Barre, PA 18702-3813 2005-08-27
1336759984 Deanne Angela Walters Nurse Practitioner 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2020-08-07
1497387062 Brittany Natassia Shipula Nurse Practitioner 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2020-02-11
1316583818 Donna L Menig Nurse Practitioner 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 2019-11-20
1295382554 Carol Teets Nurse Practitioner 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 2019-08-21
Find all providers in WILKES BARRE

Competitor

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City WILKES BARRE
Zip Code 18711

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Dataset Information

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.

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