MS. KIM DERRICK (NPI# 1407490618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407490618 |
| Entity Type | Individual |
| Full Name | MS. KIM DERRICK |
| Credential | LMT FDNP |
| Practice Address |
4001 9th St N Ste 230 Arlington VA 22203-1900 |
| Practice Telephone | 7035227637 |
| Mailing Telephone | 7035227637 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019016865 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4001 9TH ST N STE 230 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22203-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849991 | Crystal Kaplan | Massage Therapist | 4001 9th St N Ste 230, Arlington, VA 22203-1900 | 2019-06-11 |
| 1194355248 | Taran Kermani | Acupuncturist | 4001 9th St N Ste 230, Arlington, VA 22203-1900 | 2020-01-16 |
| 1083258255 | Mary Virginia Maruca | Massage Therapist | 4001 9th St N Ste 230, Arlington, VA 22203-1900 | 2019-10-31 |
| 1699319707 | Doreen Loiars | Massage Therapist | 4001 9th St N Ste 230, Arlington, VA 22203-1900 | 2019-10-31 |
| 1457993370 | Angelee Oh | Massage Therapist | 4001 9th St N Ste 230, Arlington, VA 22203-1900 | 2019-10-11 |
| 1427690361 | Yulia Kunina | Massage Therapist | 4001 9th St N Ste 230, Arlington, VA 22203-1900 | 2019-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923706 | Yeo Lim Kim | Registered Nurse | 816 N Oakland St, Unit 704, Arlington, VA 22203 | 2020-08-22 |
| 1174016190 | Bilal Rasool Chaudhry | Dentist | 801 N Quincy St Ste 110, Arlington, VA 22203 | 2018-06-13 |
| 1861993479 | Ballston Dental Arts, Pllc | Dentist | 900 N Taylor Street #150, Arlington, VA 22203 | 2018-02-28 |
| 1790293256 | Hawah Yahoh Conteh | Occupational Therapist | 900 North Taylor Street, Arlington, VA 22203 | 2018-01-18 |
| 1992237911 | Annyck Besso | Dietitian, Registered | 4250 Fairfax Dr Ste 600, Arlington, VA 22203 | 2017-03-29 |
| 1093267221 | Wilhelmina Dres | Physical Therapy Assistant | 3821 Wilson Blvd., Arlington, VA 22203 | 2016-11-04 |
| 1063861672 | Gentle Care Dentists | Dentist | 901 N Stuart Street, Suite 101, Arlington, VA 22203 | 2016-06-06 |
| 1235516717 | National Rehabilitation Hospital, Inc. | Physical Therapist | 3833 N. Fairfax Dr., Suite 300, Arlington, VA 22203 | 2015-05-04 |
| 1013313501 | Michelle May | Counselor | 4601 N Fairfax Dr, Suite 1200, Arlington, VA 22203 | 2014-11-10 |
| 1346685567 | Maggie Lyles | Family Medicine | 200 N Glebe Rd Ste 300, Arlington, VA 22203 | 2013-05-01 |
| Find all providers in zip 22203 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506866 | Skye Marcelle | Massage Therapist | 619 Lillard Rd, Arlington, TX 76012-4906 | 2020-10-21 |
| 1154928414 | Latoya Vikal Rideau | Massage Therapist | 3651 Landers Ln, Arlington, TX 76014-3830 | 2020-10-08 |
| 1417564519 | David Carrington | Massage Therapist | 1900 S Eads St Apt 1027, Arlington, VA 22202-3021 | 2020-09-23 |
| 1861008047 | Daniel Weaver | Massage Therapist | 2300 Washington Blvd Apt 102, Arlington, VA 22201-1101 | 2020-09-22 |
| 1982210225 | Tabitha Fay Croy | Massage Therapist | 1525 S George Mason Dr Apt 10, Arlington, VA 22204-3479 | 2020-09-22 |
| 1194330068 | Jorgette Simpson | Massage Therapist | 2311 Streambed Ct Apt 2007, Arlington, TX 76006-6015 | 2020-09-09 |
| 1366056087 | Chacidy Canty | Massage Therapist | 701 Edgestone Pl Apt 366, Arlington, TX 76006-2266 | 2020-09-01 |
| 1164035903 | Rafael Jesus Ayala Torres | Massage Therapist | 2715 Deer Creek Dr Apt 9-107, Arlington, TX 76010-0736 | 2020-08-30 |
| 1063052090 | Michael Balensiefer | Massage Therapist | 320 23rd St S Apt 715, Arlington, VA 22202-3757 | 2020-01-07 |
| 1366080467 | Mobility Spa LLC | Massage Therapist | 2300 N Pershing Dr Ste 201, Arlington, VA 22201-1428 | 2019-12-19 |
| Find all providers in ARLINGTON | ||||
Please comment or provide details below to improve the information on MS. KIM DERRICK.
| 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.