DERYLENE PROCTOR NPI 1710351986

NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1710351986 The last name of the provider. If the provider is an individual, this is the legal name.
Entity Type Code 1 The city name in the location address of the provider being identified.
Provider Last Name Legal Name PROCTOR The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider First Name DERYLENE The country code in the location address of the provider being identified.
Provider First Line Business Practice Location Address 5773 N SALT RD The city name in the location address of the provider being identified.
Provider Business Practice Location Address City Name MONTICELLO The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name FL The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code 323445173 The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Country Code If outside U S US The last name of the provider. If the provider is an individual, this is the legal name.
Provider Business Practice Location Address Telephone Number 8505443045 The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date 11/25/2015 The telephone number associated with the location address of the provider being identified.
Last Update Date 11/25/2015 The date that a record was last updated or changed.
Provider Gender Code F The date that a record was last updated or changed.
Healthcare Provider Taxonomy Code 1 101Y00000X The date that a record was last updated or changed.
Healthcare Provider Primary Taxonomy Switch 1 N The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Taxonomy Code 2 101YA0400X The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Healthcare Provider Primary Taxonomy Switch 2 N Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Healthcare Provider Taxonomy Code 3 101YM0800X The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider License Number 3 AC# 6530425 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider License Number State Code 3 FL The last name of the provider. If the provider is an individual, this is the legal name.
Healthcare Provider Primary Taxonomy Switch 3 N The middle name of the provider, if the provider is an individual.
Healthcare Provider Taxonomy Code 4 171M00000X The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Healthcare Provider Primary Taxonomy Switch 4 Y The middle name of the provider, if the provider is an individual.
Is Sole Proprietor Y The State code in the location of the provider being identified.

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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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

NPI Synchronization or Removal

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