DEREK A CHISHOLM LPN
NPI 1285710467
Licensed Practical Nurse in Colorado Springs, CO

Active since October 31, 2006
875 W MORENO AVE, COLORADO SPRINGS, CO 80905(719) 572-6200(719) 572-6427 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Derek A Chisholm Lpn NPPES

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

DEREK A CHISHOLM LPN (NPI 1285710467) is an individual licensed practical nurse in Colorado Springs, Colorado, licensed in Colorado (31420) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1285710467
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameDEREK A CHISHOLMCredential: LPN
Location Address875 W MORENO AVEColorado Springs, CO 80905-1731
Mailing Address5045 Cliff Point Cir EColorado Springs, CO 80919-8108 · (719) 260-7939
Fax(719) 572-6427
Sole ProprietorNo
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1285710467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in CO · 31420
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
875 W MORENO AVE, Colorado Springs, CO 80905

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
875 W MORENO AVE
COLORADO SPRINGS, CO 80905
Counselor
875 W MORENO AVE
COLORADO SPRINGS, CO 80905
Counselor (Addiction (Substance Use Disorder))
875 W MORENO AVE
COLORADO SPRINGS, CO 80905
Social Worker (Clinical)
875 W MORENO AVE
COLORADO SPRINGS, CO 80905
Psychologist
875 W MORENO AVE
COLORADO SPRINGS, CO 80905
Counselor
875 W MORENO AVE
COLORADO SPRINGS, CO 80905
Counselor (Professional)
875 W MORENO AVE
COLORADO SPRINGS, CO 80905
Counselor (Professional)
875 W MORENO AVE
COLORADO SPRINGS, CO 80905

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 Derek Chisholm's NPI number?

The NPI number for Derek Chisholm is 1285710467. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Derek Chisholm located?

Derek Chisholm practices at 875 W Moreno Ave, Colorado Springs, CO 80905. The listed phone number is (719) 572-6200.

What is Derek Chisholm's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Derek Chisholm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.