SARAH A. DERRICK F.N.P. NPI 1578504924

NPI Information

  • NPI: 1578504924
  • Provider Name: SARAH A. DERRICK, F.N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 31 CAROLINA OAKS DR
    FOUNTAIN INN, SC
    ZIP 29644
  • Phone: (864) 980-3202

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NPI Details

Sarah A. Derrick, F.N.P. is a family nurse practitioner in Fountain Inn, SC. Sarah A. Derrick, F.N.P. NPI is 1578504924. 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:

31 CAROLINA OAKS DR
FOUNTAIN INN, SC
ZIP 29644-505
Phone: (864) 980-3202

The NPI 1578504924 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 9/16/2014.

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
1363L00000XNurse Practitioner1958SOUTH CAROLINANo
2363LF0000XNurse PractitionerFamily1958SOUTH CAROLINAYes
3363LF0000XNurse PractitionerFamilyARNP9388607FLORIDANo
4363LF0000XNurse PractitionerFamily5007132NORTH CAROLINANo

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 Other Provider Identifier Issuer
1P00810359OTHERSOUTH CAROLINAMEDICARE RAIL ROAD
2AA12779159MEDICARE UPINSOUTH CAROLINA
3NP0738MEDICAIDSOUTH CAROLINA

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: 11/21/2025

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