Derrick F Niba, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

1062450 Issued in TX

Practice address

2231 W Ledbetter Dr
Dallas, TX 75224-4740

Phone

(972) 680-0096

Fax

(972) 680-8318

NPI assigned

Jul 19, 2018

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

Practice roles

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

• Precious Care Home Health Inc

  • Home Health Agency
  • Grand Prairie, TX
  • NPI 1225159247
  NPD

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1114404498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 W LEDBETTER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244740",
            "telephone_number": "972-680-0096",
            "fax_number": "972-680-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 W LEDBETTER DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244740",
            "telephone_number": "972-680-0096",
            "fax_number": "972-680-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBA",
        "first_name": "DERRICK",
        "middle_name": "F",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "TX",
            "license": "1062450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NH Clinical Services PLLC
• Josephine Ni, M.D.
• Molly Ni'Shuilleabhain
• Ramin M Nia, D.C.
• Usman Niaz, MD
• Kevin W Niblett, M.D.
• Nice Home Health Agency Inc
• Marshall Alexander Nichol, D.C
• Nicholaos C Bellos MD PA
• Nicholaos C. Bellos, M.D.,P.a.

• Gerontology Registered Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Gerontology Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.