MRS. CAROLINE LOUISE DERRICK (NPI# 1295893055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295893055 |
| Entity Type | Individual |
| Full Name | MRS. CAROLINE LOUISE DERRICK |
| Credential | N.P. |
| Practice Address |
27901 Woodward Ave Ste 300 Berkley MI 48072-0921 |
| Mailing Address |
15674 Grosvenor Ln Macomb MI 48044-1518 |
| Practice Telephone | 2485450070 |
| Mailing Telephone | 5869433999 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2014-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704234693 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637905 | Caroline Grace Derrick | Physician Assistant | 271 Medical Park Blvd, Bristol, TN 37620-7455 | 2020-07-28 |
| Street Address |
27901 WOODWARD AVE STE 300 |
| City | BERKLEY |
| State | MI |
| Zip Code | 48072-0921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114918620 | Daniel Gerard Walsh | Internal Medicine | 27901 Woodward Ave Ste 300, Berkley, MI 48072-0921 | 2005-11-03 |
| 1972899169 | Julian Joseph Barbat | Internal Medicine | 27901 Woodward Ave Ste 300, Berkley, MI 48072-0921 | 2011-06-26 |
| 1508065848 | Hazim Al-ameri | Internal Medicine | 27901 Woodward Ave Ste 300, Berkley, MI 48072-0921 | 2007-07-17 |
| 1508075433 | Salim Haji Ahmed | Internal Medicine | 27901 Woodward Ave Ste 300, Beaumont Northpointe Heart Center - Woodward, Berkley, MI 48072-0921 | 2007-05-21 |
| 1043424765 | John C Stephens | Internal Medicine | 27901 Woodward Ave Ste 300, Beaumont Northpointe Heart Center, Berkley, MI 48072-0921 | 2007-05-10 |
| 1861538399 | Connie M Markel | Nurse Practitioner | 27901 Woodward Ave Ste 300, Berkley, MI 48072-0921 | 2007-01-30 |
| 1902889462 | Katherine Taleen Najarian-braun | Physician Assistant | 27901 Woodward Ave Ste 300, Berkley, MI 48072-0921 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336759539 | Embodied Wellness, Pllc | Counselor | 1354 Harvard Rd, Berkley, MI 48072 | 2020-08-03 |
| 1790202224 | Medcrafters Rx Pharmacy LLC | Pharmacy | 3348 W 12 Mile Rd, Berkley, MI 48072 | 2017-08-25 |
| 1144684861 | Marilyn Ann Hawkins | Registered Nurse | 2766 West 11 Mile Rd., Beckley, MI 48072 | 2016-04-08 |
| 1134547862 | Rimma Polevoy | Internal Medicine | 1949 12 Mile Rd Ste 100, Berkley, MI 48072 | 2014-03-31 |
| 1245676212 | Chelsea Peraino Smoots | Social Worker | 892 11 Mile Rd, Berkley, MI 48072 | 2013-05-17 |
| 1770730483 | Bryce Paul Roekle | Counselor | 1799 Phillips Avenue, Berkley, MI 48072 | 2008-08-25 |
| 1003003617 | Oakland Family Services | Community/Behavioral Health | 2351 West 12 Mile Road, Berkley, MI 48072 | 2007-09-27 |
| 1063605012 | Care Plus Home Health Services, Inc | Home Health | 28139 Woodward Ave, Berkley, MI 48072 | 2007-08-23 |
| 1346370020 | David Jason Carpenter | Social Worker | 2345 West 12 Mile Road, Berkley, MI 48072 | 2007-03-06 |
| 1871674192 | Robert Igwe | Internal Medicine | 1949 West Twelve Mile Rd, Ste 200, Berkley, MI 48072 | 2006-10-17 |
| Find all providers in zip 48072 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881158749 | Drew Stephen Miles | Nurse Practitioner | 3270 Greenfield Rd, Berkley, MI 48072-1161 | 2019-01-24 |
| 1104309400 | Ali Noureddine Berro | Nurse Practitioner | 3270 Greenfield Rd, Berkley, MI 48072-1161 | 2018-09-12 |
| 1639534886 | Allison Filary | Nurse Practitioner | 28905 Woodward Ave, Berkley, MI 48072-0923 | 2015-12-15 |
| 1306120928 | Bridgette C Dyson | Nurse Practitioner | 1695 12 Mile Rd Ste 220, Berkley, MI 48072-2100 | 2011-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| 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.