Vicki Derry

Primary specialty

CounselorTaxonomy code 101Y00000X

License

RC00022403 Issued in WA

Practice address

2592 Kwina Rd
Bellingham, WA 98226-9278

Phone

(360) 384-0464

NPI assigned

Jul 7, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kaw NationGroup PAC ID 4486542552, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDIGBD/Endpoint/DDIGBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kaw Nation

  dba Kanza Health Center

  • Clinic/Center
  • Newkirk, OK
  • NPI 1487752465

  TX

  Medicare reassignment Care Compare group NPD
• Lummi Indian Business Council

  dba Lummi Nation Health Center- Physical Therapy

  • Physical Therapist
  • Bellingham, WA
  • NPI 1851414635

  TX

  Medicare reassignment NPD
• Lummi Indian Business Council

  dba Lummi Nation Health Center

  • Clinic/Center
  • Bellingham, WA
  • NPI 1669592374
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1053574418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269278",
            "telephone_number": "360-384-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269278",
            "telephone_number": "360-384-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRY",
        "first_name": "VICKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC00022403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missica L Derhalli
• Thomas Derleth, M.D.
• Dermatology & Laser Center NW
• Erik James Deroche, MS, DC, CSCS
• Krista Lynn Deroche, MA, LMHC
• David R Deschenes, PT
• Desert Pine Chiropractic, PLLC (Desert Pine Chiropractic)
• Carly Deshazer
• Matthew Deskins
• Juliet K Desmarais, LMP

• Counselor in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.