DERRICK RISNER
NPI 1215412622
Student in an Organized Health Care Education/Training Program in Pleasant Lake, MI

Q: What is Derrick Risner's NPI number?

The NPI number for Derrick Risner is 1215412622. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Q: What is Derrick Risner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Derrick Risner was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 02, 2018

2370 BARTLETT RD, PLEASANT LAKE, MI 49272(517) 755-8883 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Derrick Risner NPPES

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

DERRICK RISNER (NPI 1215412622) is an individual student in an organized health care education/training program in Pleasant Lake, Michigan and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1215412622

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDERRICK RISNER

Location Address2370 BARTLETT RDPleasant Lake, MI 49272-9646

Mailing Address2370 Bartlett RdPleasant Lake, MI 49272-9646 · (517) 755-8883

Phone(517) 755-8883

Sole ProprietorYes

Enumeration DateOctober 2, 2018

✔ NPI 1215412622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

2370 BARTLETT RD, Pleasant Lake, MI 49272

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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 Risner's NPI number?

The NPI number for Derrick Risner is 1215412622. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Derrick Risner located?

Derrick Risner practices at 2370 Bartlett Rd, Pleasant Lake, MI 49272. The listed phone number is (517) 755-8883.

What is Derrick Risner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Derrick Risner was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.