The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Palmetto and Florida

1 active clinicians are listed under Driver with a practice address in Palmetto, FL (423 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-16

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

License # reported to NPPES FL C616172918270

A person employed to operate a motor vehicle as a carrier of persons or property.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events

📍

Updated Practice Location January 16, 2024

Registered at 705 8TH AVE W, PALMETTO, FL 342214707 (Tel: 9415264451)

📍

Updated Business Mailing Address January 16, 2024

Registered at 705 8TH AVE W, PALMETTO, FL 342214707 (Tel: 9415264451)

✅

NPI Profile Active June 30, 2023

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) June 30, 2023

Registered at 10157 NEWMINSTER LOOP, RUSKIN, FL 335736727 (Tel: 8134529956)

📍

Business Mailing Address (Initial Record) June 30, 2023

Registered at 4522 W VILLAGE DR UNIT 1136, TAMPA, FL 336243429

👤

Provider Name / Credentials (Initial Record) June 30, 2023

Recorded as DERRISHA CRAWFORD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2023

Driver (license number reported to NPPES: FL C616172918270)

🟢

Initial NPI Registration & Enumeration June 30, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497432413

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2023

Last Update: January 16, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

705 8th Ave W

Palmetto, FL 342214707

Phone: 9415264451

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.