{"npi":"1801976352","type":"NPI-1","status":"active","name":{"display":"Sheryl Derderian NP","other":[],"first":"SHERYL","last":"DERDERIAN","credential":"NP"},"specialty":{"primary_taxonomy":"363LG0600X","primary_taxonomy_description":"Gerontology Nurse Practitioner","slug":"gerontology-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LA2200X","description":"Adult Health Nurse Practitioner","primary":false,"state":"MA","license":"156396"},{"code":"363LG0600X","description":"Gerontology Nurse Practitioner","primary":true,"state":"MA","license":"156396"},{"code":"207RG0300X","description":"Geriatric Medicine (Internal Medicine) Physician","primary":false,"state":"MA","license":"156396"}]},"addresses":[{"purpose":"LOCATION","street_1":"46 DAGGETT DRIVE","city":"WEST SPRINGFIELD","state":"MA","postal_code":"01089","country_code":"US","phone":"4137949110","fax":"4137949116"},{"purpose":"MAILING","street_1":"280 CHESTNUT STREET","city":"SPRINGFIELD","state":"MA","postal_code":"01199","country_code":"US","street_2":"2ND FLOOR","phone":"4137945700"}],"license":{"state":"MA","number":"156396"},"identifiers":[{"type_code":"01","label":"Other","value":"500025819","state":"MA","issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"NP1137","state":"MA","issuer":"CONNECTICARE"},{"type_code":"05","label":"Medicaid","value":"0344061","state":"MA","issuer":null},{"type_code":"01","label":"Other","value":"NP1137","state":"MA","issuer":"BLUE CROSS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050525000387","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"MA","pac_id":"6901848415"}]},"enumeration_date":"2006-10-17","last_updated":"2014-08-01","_meta":{"source":"NPPES","snapshot_date":"2014-08-01","doc_url":"https://findmynpi.com/api"}}