DERYLENE PROCTOR NPI 1710351986

NPI Information

  • NPI: 1710351986
  • Provider Name: DERYLENE PROCTOR
  • Classification: Case Manager/Care Coordinator - 171M00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5773 N SALT RD
    MONTICELLO, FL
    ZIP 32344
  • Phone: (850) 544-3045

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NPI Details

Derylene Proctor is a case manager care coordinator in Monticello, FL. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. Derylene Proctor NPI is 1710351986. 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:

5773 N SALT RD
MONTICELLO, FL
ZIP 32344-173
Phone: (850) 544-3045

The NPI 1710351986 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/25/2015 and was last updated on 11/25/2015.

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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthAC# 6530425FLORIDANo
4171M00000XCase Manager/Care CoordinatorYes

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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