Derek Horride, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

4704302157 Issued in MI

Practice address

1223 Edison St
Detroit, MI 48202-1562

Phone

(313) 974-1717

NPI assigned

Feb 19, 2014

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1093130643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 EDISON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021562",
            "telephone_number": "313-974-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 EDISON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482021562",
            "telephone_number": "313-974-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORRIDE",
        "first_name": "DEREK",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "4704302157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence J Horn, MD
• Martrelon Azariea Horn
• Desmonet Horne
• Matthew Horne, OTR/L
• Orest Horodysky, MD
• Harriette M. Horst, M.D.
• Alexis D Horton, BA, SST
• Nichole Horton, CRNA
• Richard Louis Horton, INDIVIDUAL
• Christyn Hosking, PSYD

• Home Health Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.