DERRICK WILLIAMS (NPI# 1881293892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881293892 |
| Entity Type | Individual |
| Full Name | DERRICK WILLIAMS |
| Practice Address |
4646 John R St Detroit MI 48201-1916 |
| Mailing Address |
53688 Huron Dr Chesterfield MI 48051-1685 |
| Practice Telephone | 3135763115 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704308989 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053548339 | Derrick V Williams | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave # J4-3331, Anes: Anesthesiology, Cleveland, OH 44195-0001 | 2009-06-15 |
| 1306302682 | Derrick Williams | Rehabilitation Practitioner | 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699 | 2019-02-12 |
| 1285178889 | Derrick Williams | Community Health Worker | 7733 Forsyth Blvd Fl 11, Clayton, MO 63105-1878 | 2016-12-15 |
| 1144771262 | Derrick Williams | Counselor | 1602 Royal Ave, Monroe, LA 71201-5612 | 2016-10-24 |
| 1457774606 | Derrick Martin Williams | Counselor | 102 Pilling St, Brooklyn, NY 11207-1610 | 2014-01-23 |
| 1942574207 | Derrick Williams | Social Worker | 2302 Parklake Dr Ne, Suite 350, Atlanta, GA 30345-2896 | 2012-03-05 |
| 1780966408 | Derrick H Williams | Family Medicine | 305 Estill St, 4th Floor, Berea, KY 40403-1742 | 2011-09-20 |
| 1366724619 | Derrick Williams | Rehabilitation Practitioner | 3840 N Commerce St, Ste. 200, North Las Vegas, NV 89032-8104 | 2011-09-13 |
| 1922333194 | Derrick Lane Williams | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2009-10-06 |
| 1518290873 | Derrick Demetrius Williams Sr. | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2009-09-17 |
| Street Address |
4646 JOHN R ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344121 | Christopher Emil Hermann | Nurse Practitioner | 4646 John R St, Detroit, MI 48201-1916 | 2005-05-24 |
| 1598371544 | Sonia Govil | Dietitian, Registered | 4646 John R St, Detroit, MI 48201-1916 | 2020-09-16 |
| 1740893569 | Nicholas Edward Peters | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-08-31 |
| 1710597455 | Amber Michelle Young | Social Worker | 4646 John R St, Detroit, MI 48201-1916 | 2020-08-07 |
| 1104434471 | Zeinab H Moussa | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-22 |
| 1235747346 | Samantha Beth Lewis | Psychologist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-15 |
| 1477171189 | Rima Mohammad Fardos | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-09 |
| 1992323869 | Sarah F Waqhar | Student in an Organized Health Care Education/Training Program | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-08 |
| 1619594181 | Mellisa Ann Boyle | Student in an Organized Health Care Education/Training Program | 4646 John R St, Detroit, MI 48201-1916 | 2020-07-01 |
| 1801412341 | Ankur Rajendra Patel | Optometrist | 4646 John R St, Detroit, MI 48201-1916 | 2020-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605619 | Felicia Simmons | Registered Nurse | 16861 Lesure St, Detroit, MI 48235-4012 | 2020-09-25 |
| 1770105389 | Shanita Blevins | Registered Nurse | 19962 Ferguson St, Detroit, MI 48235-2431 | 2020-05-18 |
| 1891334074 | Lachelle Sophia Carroll | Registered Nurse | 14046 Stahelin Ave, Detroit, MI 48223-2985 | 2020-01-05 |
| 1699172148 | Carla Toler | Registered Nurse | 8623 Quincy St, Detroit, MI 48204-2338 | 2014-11-28 |
| 1487050407 | Julia Lavette Smith | Registered Nurse | 1121 Atkinson St, Detroit, MI 48202-1521 | 2014-11-19 |
| 1619386166 | Mary Carter | Registered Nurse | 18847 Gable St, Detroit, MI 48234-2641 | 2014-08-08 |
| 1093130643 | Derek Horride | Registered Nurse | 1223 Edison St, Detroit, MI 48202-1562 | 2014-02-19 |
| 1053697268 | Sharmel E. Hearn | Registered Nurse | 15277 Young St, Detroit, MI 48205-3662 | 2011-11-01 |
| 1952536153 | Lisa Garrett | Registered Nurse | 3823 31st St, Detroit, MI 48210-3117 | 2009-05-18 |
| 1457429037 | Joyce Goodma | Registered Nurse | 15597 Eastwood St, Detroit, MI 48205-2939 | 2006-12-01 |
| Find all providers in DETROIT | ||||
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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.