Derell Letwaun Ford, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

226271 Issued in SC

Practice address

481 Coachman Dr Apt G
Sumter, SC 29154-6261

Phone

(803) 316-9253

NPI assigned

Jun 19, 2015

Last updated

Jun 19, 2015By the provider in NPPES

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1508248220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 COACHMAN DR APT G",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291546261",
            "telephone_number": "803-316-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 COACHMAN DR APT G",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291546261",
            "telephone_number": "803-316-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "DERELL",
        "middle_name": "LETWAUN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "SC",
            "license": "226271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew A. Floyd, MD
• Roy Norbert Flynn Jr.
• Carla Michelle Foley, NP-C
• Yuanita Regina Folk
• Danny H. Ford, MD
• Derrick J Ford
• Ponya J. Ford
• Virgina W Ford, ED.D, RN, CS, FNP
• Kimberly Fort, CCC-SLP
• Angela Foxworth, CERTIFIED COACH

• Medical-Surgical Registered Nurse in Sumter, SC
• Providers in Sumter, SC by specialty
• Medical-Surgical Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.