Vicki A Derry (NPI# 1053574418, PAC ID# 5597921650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1053574418 |
| PAC ID by PECOS | 5597921650 |
| Professional Enrollment ID | I20120718000547 |
| Full Name | Vicki A Derry |
| Organization Legal Name | LUMMI INDIAN BUSINESS COUNCIL |
| Address |
2592 Kwina Rd Bellingham WA 98226-9278 |
| Phone Number | 36038404642285 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5395738231 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2592 Kwina Rd, Bellingham, WA 98226-9278 | 36038404642285 | LUMMI INDIAN BUSINESS COUNCIL |
| Organization Legal Name | LUMMI INDIAN BUSINESS COUNCIL |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin A Larner | Physical Therapy | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Janine Shaw | General Practice | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Sarah K Saxvik | Psychologist, Clinical | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| George Vana Iv | Psychiatry | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Danial Khan | Nurse Practitioner | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Justin Iwasaki | Family Medicine | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Dakotah Cheyenne Lane | Family Medicine | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Aneet K Grewal | Nurse Practitioner | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Ryan J Tolman | Clinical Social Worker | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Ron M Battle | Family Medicine | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Street Address |
2592 KWINA RD |
| City | BELLINGHAM |
| State | WA |
| Zip | 98226-9278 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin A Larner | Physical Therapy | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Janine Shaw | General Practice | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Sarah K Saxvik | Psychologist, Clinical | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| George Vana Iv | Psychiatry | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Danial Khan | Nurse Practitioner | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Justin Iwasaki | Family Medicine | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Dakotah Cheyenne Lane | Family Medicine | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Aneet K Grewal | Nurse Practitioner | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Ryan J Tolman | Clinical Social Worker | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Ron M Battle | Family Medicine | Lummi Indian Business Council | 2592 Kwina Rd, Bellingham, WA 98226-9278 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther M Grummel | Clinical Social Worker | 3031 Orleans St, Suite 101, Bellingham, WA 98226-3557 | |
| Sally J Harper | Clinical Social Worker | 3031 Orleans St, Suite 101, Bellingham, WA 98226-3557 | |
| Nathan E Reiss | Clinical Psychologist | Northwest Behavioral Management, Inc. | 3031 Orleans St, Bellingham, WA 98226-3557 |
| Clarence N Leavitt Jr. | Chiropractic | 4200 Meridian St, Suite 101a, Bellingham, WA 98226-5546 | |
| Sylvia A Thorpe | Psychologist, Clinical | 4200 Meridian St, Suite 209, Bellingham, WA 98226-5593 | |
| Steven St Ma | Ophthalmology | Bellingham Bay Ophthalmology LLC | 3125 Howe Pl, Suite 101, Bellingham, WA 98226-5634 |
| James Min Kim | Ophthalmology | Bellingham Bay Ophthalmology LLC | 3125 Howe Pl, Suite 101, Bellingham, WA 98226-5634 |
| Timothy Arash Ekhlassi | Ophthalmology | Bellingham Bay Ophthalmology LLC | 3125 Howe Pl, Suite 101, Bellingham, WA 98226-5634 |
| Daniel L Eschbach | Chiropractic | 1402 E Sunset Dr, Bellingham, WA 98226-5635 | |
| Deborah M. Benz | Emergency Medicine | 4280 Meridian St, Suite 110, Bellingham, WA 98226-6464 | |
| Find all physicians in zip 98226 | |||
| City | BELLINGHAM |
| Zip Code | 98226 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BELLINGHAM + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Vicki A Derry.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.