MRS. ANN M DERRICK (NPI# 1831237668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831237668 |
| Entity Type | Individual |
| Full Name | MRS. ANN M DERRICK |
| Credential | APRN |
| Practice Address |
200 E Chestnut St Louisville KY 40202-1831 |
| Mailing Address |
Po Box 909 Louisville KY 40201-0909 |
| Practice Telephone | 5025880800 |
| Practice Fax Number | 5025880801 |
| Mailing Telephone | 5025880800 |
| Mailing Fax Number | 5025880801 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2016-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3000559 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3000559 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
3000559 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201180190 | 05 | |
| KY | 7100296540 | 05 |
| Street Address |
200 E CHESTNUT ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467456384 | Sanford Todd Reikes | Internal Medicine | 200 E Chestnut St, Louisville, KY 40202-1831 | 2005-06-09 |
| 1245845163 | Morgan Daffin | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-09-09 |
| 1053934612 | Kayla N Larosa | Psychologist | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-05-18 |
| 1013548973 | Kentucky Ob Hospitalist Services Inc | Obstetrics & Gynecology | 200 E Chestnut St, Louisville, KY 40202-1831 | 2020-01-30 |
| 1003451774 | Elizabeth Turcotte | Nurse Practitioner | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-11-16 |
| 1972145332 | Brenn Philip Arbra | Registered Nurse | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-10-17 |
| 1417599200 | Candice Elaine Bacon | Registered Nurse | 200 E Chestnut St, Louisville, KY 40202-1800 | 2019-10-13 |
| 1518510965 | Katrina Mcneal | Nurse Practitioner | 200 E Chestnut St, Louisville, KY 40202-1800 | 2019-07-24 |
| 1013569102 | Hannah Harris | Physician Assistant | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-07-10 |
| 1932768710 | Jasmina Keserovic | Nurse Anesthetist, Certified Registered | 200 E Chestnut St, Louisville, KY 40202-1831 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1235768037 | Patricia Amber Estes | Nurse Practitioner | 234 E Gray St Ste 154, Louisville, KY 40202-1903 | 2020-04-03 |
| 1659903201 | Farrah Alayne Thornsberry | Nurse Practitioner | 1400 Browns Ln Ste B, Louisville, KY 40207-4696 | 2020-02-11 |
| 1376101634 | Erin Lee Srader | Nurse Practitioner | 544 Baxter Ave, Louisville, KY 40204-1784 | 2019-06-03 |
| 1104387752 | Kurt F Kristiansen | Nurse Practitioner | 1862 Douglass Blvd, Louisville, KY 40205-1851 | 2019-03-27 |
| 1831573351 | Karen P Black | Nurse Practitioner | 4504 Spring Bay Ct, Louisville, KY 40241-1773 | 2015-07-14 |
| 1366787798 | Kennetha Porter | Nurse Practitioner | 4710 Champions Trace Ln Ste 102, Louisville, KY 40218-3496 | 2012-12-12 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on MRS. ANN M 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.