Active NPI
Derrick Lemont Singleton
- Counselor
- Wellpinit, WA
National Provider Identifier
1891339966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG60274572
- Practice address
- 6233 Old School Rd
6233 Old School Rd
Wellpinit, WA 99040 - Phone
- (509) 258-7502
- NPI assigned
- Nov 1, 2019
- Last updated
- Nov 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60274572 | WA | Primary |
Addresses
Primary practice location
6233 Old School Rd
6233 Old School Rd
Wellpinit, WA 99040
Mailing address
PO Box 540
Wellpinit, WA 99040-0540
Phone (509) 258-7502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60274572 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1891339966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540",
"city": "WELLPINIT",
"state": "WA",
"postal_code": "990400540",
"telephone_number": "509-258-7502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6233 OLD SCHOOL RD",
"address_2": "6233 OLD SCHOOL RD",
"city": "WELLPINIT",
"state": "WA",
"postal_code": "99040",
"telephone_number": "509-258-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGLETON",
"first_name": "DERRICK",
"middle_name": "LEMONT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-01",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60274572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellpinit, WA
- Alma Regina Macclain, RN
- Teresa Ann Martinez, ARNP
- Sharon Ann Moses, ARNP
- Elizabeth Genet Sachse, RN
- Carolina E Sanchez-Van Komen, LPN
- Jody Soura
- Spokane Tribal Ambulance
- Spokane Tribe of Indians
- Spokane Tribe of Indians (David C. Wynecoop Memorial Health Center)
- Spokane Tribe of Indians (Spokane Tribal Emergency Response)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.