Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Tina Faith Derr, PA-C
Physician Assistant in Dayton, WA · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1093797961
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Registry record
Entity type Individual (Type 1)
Name Mrs. Tina Faith Derr
Credential PA-C
Sex Female
Practice address 1012 South Third Street, Columbia Family Clinic, Dayton, WA, 99328
Phone (509) 382-3200
Fax (509) 382-2748
Enumeration date Nov 16, 2005
Last updated in NPPES Mar 7, 2023
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA2004-0030 (NM) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA60426271 (WA) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2004-0030 | Other | NM | PA LICENSE |
| 83320253 | Medicaid | NM | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1093797961 active?
Yes, as of the latest NPPES snapshot, NPI 1093797961 is active (record last updated 2023-03-07).
How do I verify Tina Derr's NPI record?
Cross-check NPI 1093797961 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.