DERRICK N CRUMPLER (NPI# 1013235241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013235241 |
| Entity Type | Individual |
| Full Name | DERRICK N CRUMPLER |
| Credential | DIRECT SERVICE PROVI |
| Practice Address |
5823 Fire Poppy Dr Elk Grove CA 95757-2848 |
| Practice Telephone | 9162476058 |
| Mailing Telephone | 9162476058 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760933907 | Derrick Crumpler | Social Worker | 7200 Bancroft Ave, Suite 267, Oakland, CA 94605 | 2016-10-24 |
| Street Address |
5823 FIRE POPPY DR |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95757-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1386287027 | Winslow Dds Inc. | Clinic/Center | 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 | 2019-10-25 |
| 1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1821578386 | Michele Elizabeth Amato | Behavior Technician | 8350 Lotz Parkway, Elk Grove, CA 95757 | 2018-08-15 |
| 1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
| 1497207351 | Ron Dancy | Genetic Counselor, MS | 9864 West Taron Dr, Elk Grove, CA 95757 | 2016-10-26 |
| 1780051524 | Jesselle Pablo | Counselor | 10227 Pedra Do Sol Way, Elk Grove, CA 95757 | 2015-08-27 |
| 1851708945 | Yen Ngoc Hoang | Pharmacist | 8257 Hopewell Drive, Elk Grove, CA 95757 | 2014-07-21 |
| 1477742070 | Nkechi Akudo Nzerem-johnson | Pediatrics | Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 | 2007-10-18 |
| Find all providers in zip 95757 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673813 | Alejandra Bedolladiaz | Homemaker | 20115 Del Oro Rd, Apple Valley, CA 92308-7587 | 2020-06-11 |
| 1215557517 | Long Hoang Nguyen I | Homemaker | 1456 S King Rd, San Jose, CA 95122-2151 | 2020-04-16 |
| 1194357343 | Karina Nungaray Martinez | Homemaker | 31215 San Antonio Dr, Cathedral City, CA 92234-6023 | 2020-02-05 |
| 1336779453 | Solomon Getachew | Homemaker | 1324 S Winchester Blvd Apt 71, San Jose, CA 95128-4323 | 2020-01-16 |
| 1558904540 | Judith Ann Walbeck | Homemaker | 21975 Poppyfield Ct, Salinas, CA 93908-1508 | 2019-10-22 |
| 1487203402 | Mamie Rodgers | Homemaker | 2557 N Pennsylvania Ave, San Bernardino, CA 92407-6737 | 2019-09-11 |
| 1902465370 | Nick L Payzant | Homemaker | 2151 Michelson Dr Ste 225, Irvine, CA 92612-1307 | 2019-06-10 |
| 1912465873 | Hakeem O Fahm | Homemaker | 9960 Jovita Ave, Chatsworth, CA 91311-3935 | 2019-03-08 |
| 1215420245 | Alan Brian Cash | Homemaker | 5033 Seachase St, San Diego, CA 92130-3212 | 2018-06-13 |
| 1639662315 | Corris Inc | Homemaker | 200 Clock Tower Pl Ste D206, Carmel, CA 93923-8761 | 2018-06-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.