# DERICK STEVEN REEDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427684562
- **Gender:** Man
- **Credential:** PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 210678 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 0024181231 | VA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 27352 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3014893 | KY | — |

## Other

- **Enumeration date:** 03/20/2020
- **Last updated:** 06/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30017615630001 | — | VA |