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

NPI Status: Active since June 07, 2016

Contact Information

1901 S 9TH ST
PHILADELPHIA, PA
ZIP 19148
Phone: (609) 436-5769
Fax: (609) 751-0905

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  • Individual
  • Female
  • Midwife, Lay

About KRYSTINA DERRICKSON

This page provides the complete NPI Profile along with additional information for Krystina Derrickson, a provider established in Philadelphia, Pennsylvania with a medical specialization in Midwife, Lay. The healthcare provider is registered in the NPI registry with number 1114376514 assigned on June 2016. The practitioner's primary taxonomy code is 175M00000X with license number 25MW00003300 (NJ). The provider is registered as an individual and her NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1114376514
Provider Name
KRYSTINA DERRICKSON CPM
Gender
Female
Entity Type
Individual
Location Address
1901 S 9TH ST PHILADELPHIA, PA 19148
Location Phone
(609) 436-5769
Location Fax
(609) 751-0905
Mailing Address
419 S DUNCAN ST BALTIMORE, MD 21231
Mailing Phone
(609) 436-5769
Mailing Fax
(609) 751-0905
Is Sole Proprietor?
Yes
Enumeration Date
06-07-2016
Last Update Date
05-20-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Midwife, Lay

Taxonomy Code
175M00000X
Type
Other Service Providers
License No.
25MW00003300
License State
NJ
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114376514, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 6 + 7 + 1 + 2 + 5 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1114376514.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114376514, enumerated as an "individual" on June 07, 2016.

The provider is located at 1901 S 9TH ST PHILADELPHIA, PA 19148 and the phone number is (609) 436-5769.

Midwife, Lay with taxonomy code 175M00000X.