AMY ASTRI DETRICK
NPI 1477991628
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since June 10, 2013PECOS Enrolled
134 GOLDEN GATE AVE, SAN FRANCISCO, CA 94102(415) 673-5700 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amy Astri Detrick NPPES

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

AMY ASTRI DETRICK (NPI 1477991628) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477991628
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMY ASTRI DETRICK
Location Address134 GOLDEN GATE AVESan Francisco, CA 94102-3810
Mailing Address134 Golden Gate AveSan Francisco, CA 94102-3810 · (415) 673-5700
Sole ProprietorYes
Enumeration DateJune 10, 2013
Last NPPES UpdateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
NPI 1477991628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
134 GOLDEN GATE AVE, San Francisco, CA 94102

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amy Astri Detrick is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Marriage & Family Therapist
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102
Student in an Organized Health Care Education/Training Program
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102
Social Worker (Clinical)
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102
Counselor
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102
Counselor (Mental Health)
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102
Community Health Worker
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102
Social Worker (Clinical)
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102
Counselor (Mental Health)
134 GOLDEN GATE AVE
SAN FRANCISCO, CA 94102

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 Amy Detrick's NPI number?

The NPI number for Amy Detrick is 1477991628. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is Amy Detrick located?

Amy Detrick practices at 134 Golden Gate Ave, San Francisco, CA 94102. The listed phone number is (415) 673-5700.

What is Amy Detrick's specialty?

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

Is Amy Detrick enrolled in Medicare?

Yes. Amy Detrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Detrick was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.