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DERICK BLACKSON
NPI 1659785806
Rehabilitation Practitioner in Las Vegas, NV

Active since June 16, 2014
3674 N RANCHO DR, 101, LAS VEGAS, NV 89130(702) 396-2988(510) 281-6883 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derick Blackson NPPES

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

DERICK BLACKSON (NPI 1659785806) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1659785806
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameDERICK BLACKSON
Location Address3674 N RANCHO DR, 101Las Vegas, NV 89130-3110
Mailing Address1034 10th StOakland, CA 94607-2720 · (702) 396-2988 · Fax (510) 281-6883
Phone(702) 396-2988
Fax(510) 281-6883
Sole ProprietorYes
Enumeration DateJune 16, 2014
✔ NPI 1659785806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
3674 N RANCHO DR, Las Vegas, NV 89130
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Other Identifiers 1

Medicaid1114270832NV

Other Providers at the Same Location NPPES 11

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

MR. LOGAN COHEN
Behavior Analyst
3674 N RANCHO DR, 101
LAS VEGAS, NV 89130
Clark County (702) 776-8397
MAYRA PEREZ SALDANA
Rehabilitation Practitioner
3674 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 465-8290
ASIA REIGN BELL I
Community/Behavioral Health
3674 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 916-1414
MS. DEBORAH LYNETTE WILLIAMS
Rehabilitation Practitioner
3674 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 497-6337
EUGENE LONG
Rehabilitation Practitioner
3674 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 985-3943
BPT PHASE2 LLC
Community/Behavioral Health
3674 N RANCHO DR, SUITE 101
LAS VEGAS, NV 89130
Clark County (702) 396-2988
EVETTE ODUMS QBA
Rehabilitation Practitioner
3674 N RANCHO DR, STE. 101
LAS VEGAS, NV 89130
Clark County (702) 396-2988
ANN MARIE HEATHER SANDOVAL-LUNN
Rehabilitation Practitioner
3674 N RANCHO DR
LAS VEGAS, NV 89130
Clark County (702) 493-5582

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 Derick Blackson's NPI number?

The NPI number for Derick Blackson is 1659785806. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Derick Blackson located?

Derick Blackson practices at 3674 N Rancho Dr 101, Las Vegas, NV 89130. The listed phone number is (702) 396-2988.

What is Derick Blackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Derick Blackson was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.