Kaia Elaine Deroche, DNP | |
123 Holmes Creek Ln, Layton, UT 84041-4404 | |
(970) 930-2207 | |
Not Available |
Full Name | Kaia Elaine Deroche |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 123 Holmes Creek Ln, Layton, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376297572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 10004843 (Oregon) | Primary |
163WG0000X | Registered Nurse - General Practice | RN95240413 (California) | Secondary |
Entity Name | Nisha Jackson Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124499124 PECOS PAC ID: 6305147745 Enrollment ID: O20151209000878 |
Entity Name | Onepeak Southern Oregon Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740917558 PECOS PAC ID: 5395129670 Enrollment ID: O20220906001662 |
Mailing Address | Practice Location Address |
---|---|
Kaia Elaine Deroche, DNP 123 Holmes Creek Ln, Layton, UT 84041-4404 Ph: (970) 930-2207 | Kaia Elaine Deroche, DNP 123 Holmes Creek Ln, Layton, UT 84041-4404 Ph: (970) 930-2207 |
Jennifer C Green, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 838 E 625 S, Layton, UT 84041 Phone: 801-725-5595 | |
Shae Francom, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2075 University Park Blvd, Layton, UT 84041 Phone: 801-779-6200 | |
Jonathan D Wilson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3225 W Gordon Ave Ste 1, Layton, UT 84041 Phone: 801-397-6150 Fax: 801-397-6151 | |
Elizabeth Regan Harwell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060 Fax: 801-336-1787 | |
Emily L Meyerhoffer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 W Layton Pkwy Ste 4c, Layton, UT 84041 Phone: 801-475-3100 Fax: 801-475-3101 | |
Whitney Nicole Jones, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1365 E Petunia Ct, Layton, UT 84040 Phone: 801-949-3802 | |
Steve D Mayer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1916 N 700 W Ste 250, Layton, UT 84041 Phone: 801-479-0312 Fax: 801-479-3364 |