Individual provider Active NPI

Derrick Ray Lehman, MS, FNP-C

  • Family Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1154982189
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024774 Issued in OH
Practice address
1222 S Patterson Blvd Ste 230
Dayton, OH 45402-2643
Phone
(937) 853-3650
NPI assigned
Jun 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 024774 OH Primary

Addresses

Primary practice location

1222 S Patterson Blvd Ste 230
Dayton, OH 45402-2643

Mailing address

875 Dogwood CT
Lebanon, OH 45036-7701
Phone (937) 532-9210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821002822 OH Practitioner - Nurse Practitioner 7012245582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equitas Health,IncGroup PAC ID 2769638154, 37 clinicians

Practice addresses (Care Compare)

1222 S Patterson Blvd
Suite 230
Dayton, OH 45402-2643
Phone (937) 853-3650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
024774OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health,Inc Current Accepting new patients
Equitas Health, Inc CurrentSince Jul 3, 2019 Accepting new patients
Equitas Health, Inc CurrentSince Jul 3, 2019 Accepting new patients

Locations

7575 Huntington Park Dr
#200
Columbus, OH 43235

1033 N High St
Columbus, OH 43201
Phone (614) 340-6776

L3842
Columbus, OH 43260

1222 S Patterson Blvd
Ste 230
Dayton, OH 45402
Phone (937) 223-5350

Interoperability endpoints

  • Direct secure messaging: dlehman284696@direct.ochin.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1154982189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 DOGWOOD CT",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367701",
            "telephone_number": "937-532-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S PATTERSON BLVD STE 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022643",
            "telephone_number": "937-853-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "DERRICK",
        "middle_name": "RAY",
        "credential": "MS, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.