LISA S DERITA FNP
NPI 1033803408
Nurse Practitioner - Primary Care in Brentwood, CA

NPI Status: Active since June 07, 2023

Contact Information

1280 CENTRAL BLVD STE J5
BRENTWOOD, CA
ZIP 94513
Phone: (925) 250-2908

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  • Individual
  • Female
  • Nurse Practitioner
  • Primary Care

About LISA DERITA

This page provides the complete NPI Profile along with additional information for Lisa Derita, a provider established in Brentwood, California with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1033803408 assigned on June 2023. The practitioner's primary taxonomy code is 363LP2300X with license number 95025065 (CA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1033803408
Provider Name
LISA S DERITA FNP
Gender
Female
Entity Type
Individual
Location Address
1280 CENTRAL BLVD STE J5 BRENTWOOD, CA 94513
Location Phone
(925) 250-2908
Mailing Address
4549 LARIAT LN OAKLEY, CA 94561
Mailing Phone
(925) 250-2908
Is Sole Proprietor?
No
Enumeration Date
06-07-2023
Last Update Date
06-07-2023
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A nurse practitioner (NP) like Lisa Derita is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
95025065
License State
CA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033803408
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063160640
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 6 + 0 + 6 + 4 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1033803408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033803408, enumerated in the NPI registry as an "individual" on June 07, 2023

The provider is located at 1280 Central Blvd Ste J5 Brentwood, Ca 94513 and the phone number is (925) 250-2908

The provider's speciality is Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care

This NPI record was last updated on June 07, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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