DEREK ANDERSON
NPI 1497416598
Home Health in Saint Louis, MO
- Individual
- Male
- Home Health
About DEREK ANDERSON
This page provides the complete NPI Profile along with additional information for Derek Anderson, a provider established in Saint Louis, Missouri with a medical specialization in Home Health. The healthcare provider is registered in the NPI registry with number 1497416598 assigned on January 2022. The practitioner's primary taxonomy code is 251E00000X with license number 2010014757 (MO). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1497416598 Verify this NPI
- Provider Name
- DEREK ANDERSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3624 N 14TH ST SAINT LOUIS, MO 63107
- Location Phone
- (314) 541-8131
- Mailing Address
- 3624 N 14TH ST SAINT LOUIS, MO 63107
- Mailing Phone
- (314) 541-8131
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-01-2022
- Last Update Date
- 01-01-2022
- Code Navigator
Location Map
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
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License No.
- 2010014757
- License State
- MO
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 246ZC0007X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | 2010014757 |
| 2 | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies | 2010014757 (MO) |
| 3 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | 2010014757 (MO) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497416598, enumerated as an "individual" on January 01, 2022.
The provider is located at 3624 N 14TH ST SAINT LOUIS, MO 63107 and the phone number is (314) 541-8131.
Home Health with taxonomy code 251E00000X.
