DERRICK JAMES LANNING


Address: 33 N Central Ave, 419, Medford, OR 97501-5900
Phone: 5412454673

DERRICK JAMES LANNING (NPI# 1083091540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083091540
Entity Type Individual
Full Name DERRICK JAMES LANNING
Credential PEER SUPPORT SPECIAL
Practice Address 33 N Central Ave
419
Medford
OR 97501-5900
Mailing Address 33 North Central Ave
419
Medford
OR 97501
Practice Telephone 5412454673
Mailing Telephone 5412454673
Enumeration Date 2015-05-04
Last Update Date 2015-05-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist OR Other Service Providers

Office Location

Street Address 33 N CENTRAL AVE
419
City MEDFORD
State OR
Zip Code 97501-5900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740272715 Rick Jacobs Psychologist 33 N Central Ave, Medford, OR 97501-5939 2005-08-16
1568864429 Carol Law Counselor 33 N Central Ave, Suite 207, Medford, OR 97501-5900 2014-09-23
1215278122 Jeffrey S Danzik Social Worker 33 N Central Ave, 400, Medford, OR 97501-5900 2013-03-04
1245409788 Jerem St John Egan Massage Therapist 33 N Central Ave, Suite 410, Medford, OR 97501-5900 2008-02-28
1417166455 Shirley Laraine Johnson Social Worker 33 N Central Ave, Suite 320, Medford, OR 97501-5900 2007-05-22
1326177833 Rita Heinz Social Worker 33 N Central Ave, Medford, OR 97501-5900 2007-03-02
1568568707 Mb Healthcare Associates Inc Specialist 33 N Central Ave, Suite 425, Medford, OR 97501-5900 2006-09-15
1447286927 Jennifer J. Hibbs Social Worker 33 N Central Ave, Ste. #416, Medford, OR 97501-5900 2006-06-25
1417931395 Marguerite Jean Smith Nurse Practitioner 33 N Central Ave, Suite 425, Medford, OR 97501-5900 2005-12-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
1477174761 Corey Renfree Counselor 1191 Hazel Street, Medford, OR 97501 2020-04-28
1669012928 One of A Kind Therapy LLC Social Worker 916 West 10th St #205, Medford, OR 97501 2020-01-14
1265993620 Star Dialysis LLC Clinic/Center 50 Rossanley Dr, Medford, OR 97501 2019-03-28
1962972463 Karen Elise Roertgen Counselor 328 So. Central Ave., Suite 204, Medford, OR 97501 2018-11-28
1316458813 Rick's Medical Supply, Inc Durable Medical Equipment & Medical Supplies 562 Parsons Drive, Suite 114, Medford, OR 97501 2017-10-24
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1992229009 Cassandra Schultz Massage Therapist 824 East Jackson, Suite A, Medford, OR 97501 2017-07-31
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1154706984 Debbie Diane Orr Behavioral Analyst 1024 West 9th Street, Medford, OR 97501 2015-07-22
Find all providers in zip 97501

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265073282 Brandon Wade Orr Peer Specialist 611 W 11th St Apt 2, Medford, OR 97501-3572 2019-10-01
1558829358 Robert Crawford Peer Specialist 221 W Main St # B13, Medford, OR 97501-2728 2019-03-11
1063977858 Hayley Jo Burns Peer Specialist 1362 Garfield St, Medford, OR 97501-3979 2019-02-05
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1902288871 Kelly Burrows Peer Specialist 817 N Central Ave, Suite C, Medford, OR 97501-5840 2015-06-26
1396351730 Dana Alexzandria Bogdanove Peer Specialist 140 S Holly St, Medford, OR 97501-3113 2020-09-21
1609493873 Heather Marie Getz Peer Specialist 200 Beatty St, Medford, OR 97501-5811 2020-07-02
1508483405 Justin Karl Sacco Peer Specialist 140 S Holly St, Medford, OR 97501-3113 2020-06-26
1275156564 Mayela Villa Peer Specialist 140 S Holly St, Medford, OR 97501-3113 2020-05-21
1427686021 Richard Joseph Mccleary Peer Specialist 200 Beatty St, Medford, OR 97501-5811 2020-03-30
Find all providers in MEDFORD

Competitor

Search similar providers

City MEDFORD
Zip Code 97501

Improve Information

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Dataset Information

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.

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