Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystina Derrickson, CPM

Individual provider Lay Midwife · NPI 1114376514

Krystina Derrickson, CPM is a Lay Midwife in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2016

Practice location Address checks out

1901 S 9th St
Philadelphia, PA 19148-2384
Phone: (609) 436-5769
Fax: (609) 751-0905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lay Midwife (primary) Taxonomy 175M00000X · Licence 25MW00003300 (NJ)

Record details

NPI number1114376514
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPM
Sole proprietorYes
NPI enumeratedJune 7, 2016
Last updated in NPPESMay 20, 2024
Certification dateJuly 17, 2023