MRS. ANN M DERRICK APRN NPI 1831237668

NPI Information

NPI: 1831237668
Provider Name: MRS. ANN M DERRICK, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
200 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 588-0800
Get Directions

MRS. Ann M Derrick, APRN is a psychiatric/mental health nurse practitioner in Louisville, KY. MRS. Ann M Derrick, APRN NPI is 1831237668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 E CHESTNUT ST
LOUISVILLE, KY
ZIP 40202-831
Phone: (502) 588-0800
Fax: (502) 588-0801

The enumeration date for this NPI number is 2/2/2007 and was last updated on 1/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		3000559	KENTUCKY	No
2	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	3000559	KENTUCKY	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	3000559	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7100296540	MEDICAID	KENTUCKY
2	K056440	MEDICARE PIN	KENTUCKY
3	201180190	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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