LAUREN DERIGGS


Address: 152 S Long Beach Ave, Freeport, NY 11520-4336
Phone: 5164925797

LAUREN DERIGGS (NPI# 1518419118) 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) 1518419118
Entity Type Individual
Full Name LAUREN DERIGGS
Practice Address 152 S Long Beach Ave
Freeport
NY 11520-4336
Practice Telephone 5164925797
Mailing Telephone 5164925797
Enumeration Date 2016-10-30
Last Update Date 2016-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
421248 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 152 S LONG BEACH AVE
City FREEPORT
State NY
Zip Code 11520-4336

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1093713364 Highland Women's Care Nurse Practitioner 3103 W Kunkle Blvd, Freeport, IL 61032-6922 2005-07-12
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1649471434 Sara E Smith Nurse Practitioner 3103 W Kunkle Blvd, Freeport, IL 61032-6922 2007-05-30

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Competitor

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City FREEPORT
Zip Code 11520

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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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