Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BIRHANU DERRA
NPI 1043118367
Nurse Practitioner - Psychiatric/Mental Health in Snohomish, WA

Q: What is Birhanu Derra's NPI number?

The NPI number for Birhanu Derra is 1043118367. It was assigned to this individual provider in the NPPES registry on October 27, 2026.

Q: What is Birhanu Derra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Birhanu Derra was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2026

5832 122ND PL SE, SNOHOMISH, WA 98296(206) 432-2853 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Birhanu Derra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIRHANU DERRA (NPI 1043118367) is an individual psychiatric/mental health provider in Snohomish, Washington, licensed in Washington (ARNP.AP.70192459-NP) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1043118367

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBIRHANU DERRA

Location Address5832 122ND PL SESnohomish, WA 98296-8916

Mailing Address5832 122nd Pl SeSnohomish, WA 98296-8916 · (206) 432-2853

Phone(206) 432-2853

Sole ProprietorYes

Enumeration DateOctober 27, 2026

NPPES CertifiedOctober 27, 2026

✔ NPI 1043118367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WA · ARNP.AP.70192459-NP

5832 122ND PL SE, Snohomish, WA 98296

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Birhanu Derra's NPI number?

The NPI number for Birhanu Derra is 1043118367. It was assigned to this individual provider in the NPPES registry on October 27, 2026.

Where is Birhanu Derra located?

Birhanu Derra practices at 5832 122nd Pl SE, Snohomish, WA 98296. The listed phone number is (206) 432-2853.

What is Birhanu Derra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Birhanu Derra was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.