Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306116736 Individual Practitioner Female Practitioner

Alyssa Kayle Derrick , LMP

Specialist • Mukilteo, WA

Professional Overview & Biography Verified Profile Summary

Alyssa Derrick, LMP is a registered healthcare professional specializing in Specialist in Mukilteo, WA. Practice services are available at 4803 84TH ST SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4803 84th St Sw

Mukilteo, WA 982753023

Telephone 4252906024
Associated Practice Facility / Clinic
🏢 Serene View Massage Therapy Facility NPI 1801922513

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mukilteo, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Mukilteo, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA60253192

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID L.m.p.
MA60253192 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1245361294

Licensed Massage Practitioner

Joshua Sloane

Massage Therapist

NPI 1285092700
Katherine Jaton , LMP

Massage Therapist

NPI 1801177092

Licensed Massage Practitioner

NPI 1831471945

Licensed Massage Practitioner

NPI 1851546915

Licensed Massage Practitioner

NPI 1871894956

Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2012

Registered at 4803 84TH ST SW, MUKILTEO, WA 982753023 (Tel: 4252906024)

📍
Updated Business Mailing Address January 02, 2012

Registered at 5521 186TH PL SW, LYNNWOOD, WA 980374325 (Tel: 4257763000)

👤
Provider Name / Credentials Updated January 02, 2012

Recorded as ALYSSA DERRICK, L.M.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2012

Specialist (License #MA60253192 in WA)

🟢
Initial NPI Registration & Enumeration January 02, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306116736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2012
Last Update: January 02, 2012
Sole Proprietor: No

Mailing Address

5521 186th Pl Sw

Lynnwood, WA 980374325

Phone: 4257763000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.