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KRYSTINA DERRICKSON CPM
NPI 1114376514
Midwife, Lay in Philadelphia, PA

Active since June 07, 2016
1901 S 9TH ST, PHILADELPHIA, PA 19148(609) 436-5769(609) 751-0905 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krystina Derrickson Cpm NPPES

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

KRYSTINA DERRICKSON CPM (NPI 1114376514) is an individual midwife, lay provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MW00003300) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1114376514
Entity TypeIndividualFemale
Primary Taxonomy175M00000X
Provider Legal NameKRYSTINA DERRICKSONCredential: CPM
Location Address1901 S 9TH STPhiladelphia, PA 19148-2384
Mailing Address419 S Duncan StBaltimore, MD 21231-2740 · (609) 436-5769 · Fax (609) 751-0905
Phone(609) 436-5769
Fax(609) 751-0905
Sole ProprietorYes
Enumeration DateJune 7, 2016
Last NPPES UpdateMay 20, 2024
NPPES CertifiedJuly 17, 2023
✔ NPI 1114376514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwife, LayOther Service Providers
Taxonomy Code175M00000X
License✔ Licensed in NJ · 25MW00003300
Definition
A person qualified by experience and limited specialized training to provide obstetric and neo-natal care in the management of women having normal pregnancy, labor and childbirth. The lay midwife is licensed in some states.
1901 S 9TH ST, Philadelphia, PA 19148
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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 Krystina Derrickson's NPI number?

The NPI number for Krystina Derrickson is 1114376514. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Krystina Derrickson located?

Krystina Derrickson practices at 1901 S 9th St, Philadelphia, PA 19148. The listed phone number is (609) 436-5769.

What is Krystina Derrickson's specialty?

The primary specialty registered for this NPI is Midwife, Lay with taxonomy code 175M00000X.

When was this NPI record last updated?

The NPPES record for Krystina Derrickson was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.