What is Derick Mims's NPI number?

Derick Mims's National Provider Identifier (NPI) is 1417561804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Derick Mims's specialty?

Derick Mims is listed in the NPPES registry with a primary specialty of Licensed Vocational Nurse (Nursing Service Providers).

Where is Derick Mims located?

Derick Mims's practice location on file with NPPES is 9846 Hwy 31 E, Tyler, TX 75705-2329.

What is Derick Mims's phone number?

The practice phone number listed in the NPPES registry for Derick Mims is (903) 525-3714.

Is Derick Mims's NPI active?

Yes — Derick Mims's NPI (1417561804) is active in the NPPES registry as of the last update on 2020-09-02.

IndividualActive

Derick Mims

NPI 1417561804 · Licensed Vocational Nurse · Tyler, TX

Derick Mims is a Licensed Vocational Nurse provider in Tyler, TX (NPI 1417561804).

Provider details

NPI number: 1417561804
Entity type: Individual
Primary specialty: Licensed Vocational NurseNursing Service Providers
Sex: Male
Sole proprietor: No
License: 206998 (TX)

Specialties & taxonomies

Licensed Vocational NursePrimary164X00000XLicense 206998 (TX)
Nursing Service Providers

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

9846 Hwy 31 E

Tyler, TX 75705-2329

Phone: (903) 525-3714

Street-level locationGet directions

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Mailing address