Derrick Tyrone Gillard, CHW, NDPP-LCC-CDC-MI

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

249 Oakridge Dr
Marquette, MI 49855-8864

Phone

(248) 573-9465

NPI assigned

Jun 2, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1962395418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 OAKRIDGE DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558864",
            "telephone_number": "248-573-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 OAKRIDGE DR",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558864",
            "telephone_number": "248-573-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLARD",
        "first_name": "DERRICK",
        "middle_name": "TYRONE",
        "name_prefix": "Mr.",
        "credential": "CHW, NDPP-LCC-CDC-MI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treven Gezella
• Greg J Ghiardi, M.D.
• Jackie Ann-Mummert Gilbert, M.S.
• Bonita L Gilbertson, NP
• Mandeep Singh Gill, M.D.
• Christina Ginter
• Jeremy Giordana, CTRS
• Cassidy Rose Girard, MS, TLLP
• Shawna R Gleason, DO
• Gleeson Chiropractic, PLLC

• Health & Wellness Coach in Marquette, MI
• Providers in Marquette, MI by specialty
• Health & Wellness Coach in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.