HEATHER A DERRICK (NPI# 1518396449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518396449 |
| Entity Type | Individual |
| Full Name | HEATHER A DERRICK |
| Credential | LLBSW |
| Practice Address |
4255 Kalamazoo Ave Se Grand Rapids MI 49508-3638 |
| Practice Telephone | 6164550960 |
| Practice Fax Number | 6164557324 |
| Mailing Telephone | 6164550960 |
| Mailing Fax Number | 6164557324 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2015-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952934499 | Heather Mills Derrick | Pharmacist | 1900 Main St, Wailuku, HI 96793-1900 | 2020-02-12 |
| 1407050099 | Heather Sloan Derrick | Obstetrics & Gynecology | 7900 Henneman Way, Suite 100, Mckinney, TX 75070-2914 | 2007-06-14 |
| Street Address |
4255 KALAMAZOO AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154403467 | Thresholds Inc | Case Management | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2006-10-19 |
| 1174186167 | Julianna Marie Katerberg | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2019-04-16 |
| 1083170526 | Annette Shumay | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2019-02-20 |
| 1679039119 | Lisa Mueller | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2019-02-20 |
| 1174092068 | Emily E Elliott | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2018-11-20 |
| 1902397920 | Laura Wrubel | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2018-05-24 |
| 1023510880 | Deshalan Monae Bennett-lucas | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2018-03-07 |
| 1285153304 | Ebone Abrams | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2017-09-11 |
| 1770009433 | Natalie Poisson | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2017-08-15 |
| 1578084117 | Jenny Winters | Social Worker | 4255 Kalamazoo Ave Se, Grand Rapids, MI 49508-3638 | 2017-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837618 | Lisa Glover | Case Manager/Care Coordinator | 1977 Radcliff Ave Se, Grand Rapids, MI 49506-5140 | 2020-09-28 |
| 1861001273 | Erica Curry Van Ee | Case Manager/Care Coordinator | 600 Broadway Ave Nw Apt 224, Grand Rapids, MI 49504-7316 | 2020-07-31 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1861048811 | Jenelle Marie Dixon | Case Manager/Care Coordinator | 1228 Dunham St Se, Grand Rapids, MI 49506-2630 | 2019-08-15 |
| 1730747700 | Renee Kimberly Howard | Case Manager/Care Coordinator | 939 Mayhew Wood Dr Se, Grand Rapids, MI 49507-3609 | 2019-06-04 |
| 1710543806 | Shannon Marie Blourne | Case Manager/Care Coordinator | 814 Alpine Ave Nw, Grand Rapids, MI 49504-4410 | 2019-05-14 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1407386352 | Keri Megan Laporte-montero | Case Manager/Care Coordinator | 434 Sweet St Ne, Grand Rapids, MI 49505-4762 | 2017-06-14 |
| 1396111241 | Kirsten Elizabeth Tanui | Case Manager/Care Coordinator | 2606 Eastern Ave Se, Grand Rapids, MI 49507-3605 | 2015-08-14 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
Please comment or provide details below to improve the information on HEATHER A 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.