DERRICK MATHIS
NPI 1093086688
Community Health Worker in Philadelphia, PA

Active since January 13, 2012
1551 N 29TH ST, SUITE 1, PHILADELPHIA, PA 19121(267) 988-5613 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Mathis NPPES

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

DERRICK MATHIS (NPI 1093086688) is an individual community health worker in Philadelphia, Pennsylvania and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1093086688
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameDERRICK MATHIS
Location Address1551 N 29TH ST, SUITE 1Philadelphia, PA 19121-3620
Mailing Address3202 Hamilton St, Suite 1Philadelphia, PA 19104-2517 · (267) 988-5613
Sole ProprietorYes
Enumeration DateJanuary 13, 2012
NPI 1093086688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Also ListedDriverTaxonomy 172A00000X
Also ListedChore ProviderTaxonomy 372500000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedNurse's AideTaxonomy 376K00000X
1551 N 29TH ST, Philadelphia, PA 19121

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
1551 N 29TH ST, SUITE 2
PHILADELPHIA, PA 19121
Home Delivered Meals
1551 N 29TH ST, SUITE 2
PHILADELPHIA, PA 19121

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 Derrick Mathis's NPI number?

The NPI number for Derrick Mathis is 1093086688. It was assigned to this individual provider in the NPPES registry on January 13, 2012.

Where is Derrick Mathis located?

Derrick Mathis practices at 1551 N 29th St Suite 1, Philadelphia, PA 19121. The listed phone number is (267) 988-5613.

What is Derrick Mathis's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Derrick Mathis was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.