JENNA ELIZ TAN DERIVERA CAA
NPI 1255123345
Anesthesiologist Assistant in Washington, DC
NPI Status: Active since May 22, 2025
Contact Information
1200 PECAN ST SE
WASHINGTON, DC
ZIP 20032
Phone: (202) 823-4220
- Individual
- Female
- Anesthesiologist Assistant
About JENNA ELIZ DERIVERA
This page provides the complete NPI Profile along with additional information for Jenna Eliz Derivera, a provider established in Washington, District Of Columbia with a medical specialization in Anesthesiologist Assistant. The healthcare provider is registered in the NPI registry with number 1255123345 assigned on May 2025. The practitioner's primary taxonomy code is 367H00000X. The provider is registered as an individual and her NPI record was last updated May 2025.
- NPI
- 1255123345
- Provider Name
- JENNA ELIZ TAN DERIVERA CAA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1200 PECAN ST SE WASHINGTON, DC 20032
- Location Phone
- (202) 823-4220
- Mailing Address
- 2300 M ST NW FL 7 WASHINGTON, DC 20037
- Mailing Phone
- (202) 823-4220
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-22-2025
- Last Update Date
- 05-22-2025
- Code Navigator
Location Map
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
Anesthesiologist Assistant
- Taxonomy Code
- 367H00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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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. | |||||||||
| 1 | 2 | 5 | 5 | 1 | 2 | 3 | 3 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 2 | 2 | 6 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 2 + 2 + 6 + 3 + 8 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1255123345 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1285492892 | UHS EAST END SUB, LLC Organization | General Acute Care Hospital | 1200 PECAN ST SE WASHINGTON, DC 20032 (804) 237-7129 |
| 1396531422 | MEDICAL FACULTY ASSOCIATES, INC Organization | Anesthesiology | 1200 PECAN ST SE WASHINGTON, DC 20032 (771) 444-6200 |
| 1477598464 | DARNELL MAURICE JONES PA Individual | Physician Assistant | 1200 PECAN ST SE WASHINGTON, DC 20032 (771) 444-9111 |
| 1508250424 | NARDOS TEMESGEN MD Individual | Internal Medicine (Interventional Cardiology) | 1200 PECAN ST SE WASHINGTON, DC 20032 (771) 444-6200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255123345, enumerated in the NPI registry as an "individual" on May 22, 2025
The provider is located at 1200 Pecan St Se Washington, Dc 20032 and the phone number is (202) 823-4220
The provider's speciality is Anesthesiologist Assistant with taxonomy code 367H00000X
This NPI record was last updated on May 22, 2025. 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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