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NPI · 1104120781 · NPPES-sourced

Dericka Canada

ActiveStudent in an Organized Health Care Education/Training Program
NPI Number
1104120781
Type 1 · Individual
Contact
(502) 589-8600
Primary practice line
Last Updated
About 15 years ago (Dec 2010)
Enumerated 2010-12-22
Primary practice addressKY · 40204-1037
914 E BroadwayLouisville, KY 40204-1037
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About this NPIWhat this record shows.

NPI 1104120781 is registered to Dericka Canada, a Student in an Organized Health Care Education/Training Program practising at 914 E Broadway in Louisville, Kentucky. Student in an Organized Health Care Education/Training Program is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dericka Canada has been enumerated in the National Provider Identifier (NPI) registry since 2010.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2010-12-22
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dericka Canada accepts. To confirm in-network status with your specific health plan, contact Dericka Canada directly at (502) 589-8600.

Frequently asked

Yes. NPI 1104120781 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Student in an Organized Health Care Education/Training Program is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (502) 589-8600.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dericka Canada is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy390200000X
Last updated2010-12
Enumerated2010-12-22
StatusActive
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