MRS. EMILY ELIZABETH HENDRICKSON CPNP NPI 1487892964

NPI Information

NPI: 1487892964
Provider Name: MRS. EMILY ELIZABETH HENDRICKSON, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
3140 DAYTON XENIA ROAD
SUITE C
BEAVERCREEK, OH
ZIP 45434
Phone: (937) 320-1950
Get Directions

MRS. Emily Elizabeth Hendrickson, CPNP is a pediatrics nurse practitioner in Beavercreek, OH. MRS. Emily Elizabeth Hendrickson, CPNP NPI is 1487892964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3140 DAYTON XENIA ROAD
SUITE C
BEAVERCREEK, OH
ZIP 45434
Phone: (937) 320-1950
Fax: (937) 320-9332

The NPI 1487892964 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 10/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	NP-10256	OHIO	No
2	363LP0200X	Nurse Practitioner	Pediatrics	APRN.CNP.10256	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0326400	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »