Pier Derrickson, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AK001343 Issued in PA

Practice address

1401 Germantown Ave Apt 1K
Philadelphia, PA 19122-3758

Phone

(215) 901-4504

NPI assigned

Sep 8, 2023

Last updated

Sep 8, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 1401 Collective LLC

  dba NoteToSelf Wellness

  • Acupuncturist
  • Philadelphia, PA
  • NPI 1346104676
  NPD Authorized official

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1285411843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GERMANTOWN AVE APT 1K",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223758",
            "telephone_number": "215-901-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GERMANTOWN AVE APT 1K",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223758",
            "telephone_number": "215-901-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICKSON",
        "first_name": "PIER",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Joseph Derose, CRNP, RNFA
• Karen Lynn Derosier
• Jovenah Jovenah Derozier, CCHW
• William Derrick Jr., FNP-C
• Krystina Derrickson, CPM
• Holly Derubeis
• Gregory Louis Derusso, M.D.
• Patricia Ann Derusso, C.R.N.P.
• Peggy Anne Derusso, CRNP
• Migena Brati Dervishi

• Acupuncturist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.