MRS. KIWANA N DERRICK (NPI# 1871105320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871105320 |
| Entity Type | Individual |
| Full Name | MRS. KIWANA N DERRICK |
| Credential | RN, AGNP-C |
| Practice Address |
244 Oakwood Dr Lewisburg TN 37091-3153 |
| Mailing Address |
Po Box 2182 Lewisburg TN 37091-1182 |
| Practice Telephone | 9314222221 |
| Mailing Telephone | 9316522521 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
196202 | TN | Nursing Service Providers |
| Street Address |
244 OAKWOOD DR |
| City | LEWISBURG |
| State | TN |
| Zip Code | 37091-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699720565 | Nhc Healthcare-oakwood, LLC | Skilled Nursing Facility | 244 Oakwood Dr, Lewisburg, TN 37091-3153 | 2006-05-22 |
| 1295262756 | Amanda Kay Watkins | Occupational Therapy Assistant | 244 Oakwood Dr, Lewisburg, TN 37091-3153 | 2017-05-16 |
| 1447609219 | Rita Marie Hayek | Occupational Therapist | 244 Oakwood Dr, Lewisburg, TN 37091-3153 | 2016-06-12 |
| 1295135846 | Carly Walls | Physical Therapist | 244 Oakwood Dr, Lewisburg, TN 37091-3153 | 2014-09-02 |
| 1386784486 | Nhc Healthcare Oakwood LLC | Clinic/Center | 244 Oakwood Dr, Lewisburg, TN 37091-3153 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168817 | South Medical Clinic LLC | Family Medicine | 118 2nd Ave South, Lewisburg, TN 37091 | 2020-03-04 |
| 1063968345 | Joe Swinney IIi | Case Management | 3756 Tom Littlejohn Rd, Lewisburg, TN 37091 | 2016-08-28 |
| 1396142485 | The Estate of P. Laray Rector | Dentist | 553 W Commerce St, Lewisburg, TN 37091 | 2014-12-04 |
| 1093958092 | Tamara Carolynn Holley | Case Manager/Care Coordinator | 1603 Nashville Highway, Lewisburg, TN 37091 | 2009-04-07 |
| 1285897793 | Jennifer Val Neel | Nurse Practitioner | 329 West Commerce Street, Lewisburg, TN 37091 | 2008-07-03 |
| 1316138639 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 1030 War Eagle Drive, Lewisburg, TN 37091 | 2007-08-05 |
| 1568561850 | John Woodson Carter | Dentist | 1085 N Ellington Pkwy, Lewisburg, TN 37091 | 2006-09-22 |
| 1508882671 | Kenneth J Phelps Jr. | Family Medicine | 304 W Church St, Lewisburg, TN 37091 | 2006-07-14 |
| 1760448500 | Edward D White Jr. | Nurse Practitioner | 710 Cornersville Rd, Lewisburg, TN 37091 | 2006-04-21 |
| 1548243348 | Air Evac Ems Inc | Ambulance | 1879 Franklin Pike, Lewisburg, TN 37091 | 2005-11-25 |
| Find all providers in zip 37091 | ||||
| Taxonomy Code | 163WG0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265658256 | Margaret Inglis | Registered Nurse | 501 Market St, Lewisburg, PA 17837-3002 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467723486 | Longevity Medical LLC | Registered Nurse | 1355 B Lynnfield Rd, Ste 245, Memphis, TN 38119-5801 | 2012-01-23 |
| 1316224454 | Cowan Geriatric Care LLC | Registered Nurse | 10377 Trail Hill Ln, Cordova, TN 38016-6670 | 2011-11-03 |
| 1053563353 | Carol Hoffman Burnett | Registered Nurse | 325 Saint Clair St, Murfreesboro, TN 37130-2848 | 2008-10-17 |
| 1669646873 | Access To Care, LLC | Registered Nurse | 403 N Oak St, Springfield, TN 37172-2334 | 2008-04-17 |
| 1033184320 | Susan H Kihlmire | Registered Nurse | 264 New Shackle Island Road, Suite 107, Hendersonville, TN 37075-2481 | 2006-02-21 |
| 1053826743 | Zachary Calvin Reynolds | Registered Nurse | 1211 Medical Center Dr, Nashville, TN 37232-4190 | 2017-12-04 |
| 1467696351 | Superior Health Solutions LLC | Registered Nurse | 1034 N Highland Ave Ste A, Murfreesboro, TN 37130-2463 | 2009-04-23 |
| 1306068721 | Inspiris of Texas Inc | Registered Nurse | 10 Cadillac Drive, Suite 350, Brentwood, TN 37027-5095 | 2007-05-03 |
| 1881816205 | Inspiris of Pennsylvania Inc | Registered Nurse | 10 Cadillac Drive, Suite 350, Brentwood, TN 37027-5095 | 2007-05-03 |
Please comment or provide details below to improve the information on MRS. KIWANA N 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.