DERRICK DEVON FARGO NPI 1932053873

NPI Information

  • NPI: 1932053873
  • Provider Name: DERRICK DEVON FARGO
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 16221 N 7TH DR
    PHOENIX, AZ
    ZIP 85023
  • Phone: (623) 312-6491

Map and Directions

Get Directions

NPI Details

Derrick Devon Fargo is a peer specialist in Phoenix, AZ. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Derrick Devon Fargo NPI is 1932053873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16221 N 7TH DR
PHOENIX, AZ
ZIP 85023-900
Phone: (623) 312-6491

The enumeration date for this NPI number is 2/26/2026 and was last updated on 3/23/2026.

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
1175T00000XPeer SpecialistD09261199ARIZONAYes
2343900000XNon-emergency Medical Transport (VAN)D09261199ARIZONANo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.