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JENNIFER DEROSSI-DACOSTA RN,CDE,CDOE
NPI 1063883270
Registered Nurse - Diabetes Educator in Pawtucket, RI

Active since October 14, 2015
111 BREWSTER STREET, CNEMG PRIMARY CARE AND SPECIALTY SERVICES, PAWTUCKET, RI 02860(401) 729-2238(401) 729-2923 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2020, Sep 24, 2019 (2 updates tracked since 2019).

About Jennifer Derossi-dacosta Rn,cde,cdoe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER DEROSSI-DACOSTA RN,CDE,CDOE (NPI 1063883270) is an individual diabetes educator provider in Pawtucket, Rhode Island, licensed in Rhode Island (RN51935) and active in the NPI registry since October 2015. She maintains a secondary practice location in North Dartmouth.

NPPES Registry Identity

NPI1063883270
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameJENNIFER DEROSSI-DACOSTACredential: RN,CDE,CDOE
Location Address111 BREWSTER STREET, CNEMG PRIMARY CARE AND SPECIALTY SERVICESPawtucket, RI 02860-4474
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 273-0641
Phone(401) 729-2238
Fax(401) 729-2923
Sole ProprietorNo
Enumeration DateOctober 14, 2015
Last NPPES UpdateJanuary 22, 20202 updates tracked since enumeration
✔ NPI 1063883270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in RI · RN51935
Also ListedHealth EducatorTaxonomy 174H00000X · License RN51935 (RI)
111 BREWSTER STREET, Pawtucket, RI 02860
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Secondary Practice Location 1

Location 149 State Rd, Mashpee BuildingNorth Dartmouth, MA 02747-3322 · Phone (508) 973-2226

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL S SICLARI MD
Emergency Medicine
111 BREWSTER STREET
PAWTUCKET, RI 02860
Providence County (401) 729-2419
ABRAHAM WALUSIMBI MD
Internal Medicine
111 BREWSTER STREET
PAWTUCKET, RI 02860
Providence County (401) 729-2258
JOSE M. NEGRON-SOTO M.D.
Radiology (Diagnostic Radiology)
111 BREWSTER STREET
PAWTUCKET, RI 02860
Providence County (401) 729-2339
JOSEPH STEPHEN RABATIN MD
Internal Medicine
111 BREWSTER STREET
PAWTUCKET, RI 02860
Providence County (401) 729-2258
DR. ANTHONY GEORGE THOMAS D.O.
Internal Medicine (Hematology & Oncology)
111 BREWSTER STREET
PAWTUCKET, RI 02860
Providence County (401) 729-2700
FADYA ELRAYESS MD
Family Medicine
111 BREWSTER STREET
PAWTUCKET, RI 02860
Providence County (401) 729-2206
DR. MICHAEL E JAY M.D.
Radiology (Vascular & Interventional Radiology)
111 BREWSTER STREET
PAWTUCKET, RI 02860
Providence County (401) 729-2339
DR. KRISTIN LYNCH GREGG M.D.
Emergency Medicine
111 BREWSTER STREET
PAWTUCKET, RI 02860
Providence County (401) 729-2419

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Derossi-dacosta's NPI number?

The NPI number for Jennifer Derossi-dacosta is 1063883270. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Where is Jennifer Derossi-dacosta located?

Jennifer Derossi-dacosta practices at 111 Brewster Street Cnemg Primary Care And Specialty Services, Pawtucket, RI 02860. The listed phone number is (401) 729-2238.

What is Jennifer Derossi-dacosta's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Derossi-dacosta was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.