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OLIVIA DERISE
NPI 1174266738
Student in an Organized Health Care Education/Training Program in Jefferson, LA

Active since April 20, 2022PECOS Enrolled
1514 JEFFERSON HWY, JEFFERSON, LA 70121(337) 277-5209 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2023, Apr 20, 2022 (2 updates tracked since 2022).

About Olivia Derise NPPES

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

OLIVIA DERISE (NPI 1174266738) is an individual student in an organized health care education/training program in Jefferson, Louisiana and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174266738
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOLIVIA DERISE
Location Address1514 JEFFERSON HWYJefferson, LA 70121-2429
Mailing Address1514 Jefferson HwyJefferson, LA 70121-2429
Phone(337) 277-5209
Sole ProprietorNo
Enumeration DateApril 20, 2022
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1174266738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1514 JEFFERSON HWY, Jefferson, LA 70121
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Derise is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. WALTER JORDAN HOYT JR. M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-3900
DANIELLE M PICKHAM M.D.
Surgery
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-3000
TAMMY ANN FRANCIPANE RNC CNNP
Nurse Practitioner (Pediatrics, Critical Care)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-4000
LINGLING DU M.D.
Internal Medicine (Hematology & Oncology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-4000
DR. BRIAN THOMAS HALBERT M.D.
Internal Medicine (Hematology & Oncology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-3910
ADRIENNE A. TRUXILLO NP
Nurse Practitioner (Pediatrics)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-3900
WENDY LYNN CAMBRE CRNA
Nurse Anesthetist, Certified Registered
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-3755
AIMEE ELISE HILTBOLD M.D.
Internal Medicine (Cardiovascular Disease)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Jefferson Parish (504) 842-4145

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 Olivia Derise's NPI number?

The NPI number for Olivia Derise is 1174266738. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Olivia Derise located?

Olivia Derise practices at 1514 Jefferson Hwy, Jefferson, LA 70121. The listed phone number is (337) 277-5209.

What is Olivia Derise's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Olivia Derise enrolled in Medicare?

Yes. Olivia Derise is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Derise was last updated on June 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.