JESSICA LYNN HENDRICKSON (NPI# 1306350384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306350384 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN HENDRICKSON |
| Practice Address |
10504 S 15th St Bellevue NE 68123-4084 |
| Practice Telephone | 4022920463 |
| Mailing Telephone | 4022920463 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13166 | NE | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750873949 | Jessica Hendrickson | Behavior Technician | 405 S Washington St, Aberdeen, SD 57401-4348 | 2018-06-04 |
| 1447597943 | Jessica Lynn Hendrickson | Counselor | 812 N Highway 5, Mansfield, MO 65704-7301 | 2013-01-03 |
| Street Address |
10504 S 15TH ST |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68123-4084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417974510 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 10504 S 15th St, Bellevue, NE 68123-4084 | 2006-07-16 |
| 1356724041 | Ryan Joseph Kolarik | Pharmacist | 10504 S 15th St, Bellevue, NE 68123-4084 | 2015-06-30 |
| 1346362043 | Alison R Hind | Pharmacist | 10504 S 15th St, Bellevue, NE 68123-4084 | 2007-04-04 |
| 1912046434 | Schlueter Optometric Corporation | Optometrist | 10504 S 15th St, Bellevue, NE 68123-4084 | 2007-02-05 |
| 1932282282 | Wal-mart Stores, Inc. | Technician/Technologist | 10504 S 15th St, Bellevue, NE 68123-4084 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482227 | Gloria Pettigrew-fletcher | Community Health Worker | 12432 A 36th St, C20, Bellevue, NE 68123 | 2020-03-13 |
| 1225480676 | Heidi Jean Mccoy | Dentist | 2110 Towne Centre Drive, Bellevue, NE 68123 | 2016-07-11 |
| 1538557442 | Mariam Abdelghany I | Physician Assistant | 2500 Bellevue Medical Center Drive, Bellevue, NE 68123 | 2014-12-30 |
| 1205243367 | Sara Johnson | Pharmacist | 3614 Twin Creeks Drive, Bellevue, NE 68123 | 2014-07-21 |
| 1174826747 | Francine Amy Drummond | Dentist | 1701 Independence Lane #22, Bellevue, NE 68123 | 2010-12-21 |
| 1053509588 | Dunlow Orthodontics, P.C. | Dentist | 2219 Capehart Road, Suite 102, Bellevue, NE 68123 | 2007-10-10 |
| 1801911870 | Michelle Lynn Gaeth | Dentist | 11536 S. 31st St., Bellevue, NE 68123 | 2007-03-20 |
| 1386789832 | Mary Monique Rotert | Psychologist | 3308 Samson Way Road, Suite 211, Bellevue, NE 68123 | 2007-02-21 |
| 1316084098 | Kevin B Jones | Family Medicine | 3308 Samson Way Ste 102, Bellevue, NE 68123 | 2007-01-31 |
| 1467529727 | Nebraska Medical Center | Pharmacy | 2510 Bellevue Medical Center Drive, Suite 100, Bellevue, NE 68123 | 2006-11-29 |
| Find all providers in zip 68123 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1962047621 | Gina Renee Kalinowski | Pharmacist | 4315 Waterford Ave, Bellevue, NE 68123-6237 | 2019-11-16 |
| 1467093021 | Samantha Elyse Kenik | Pharmacist | 3308 Samson Way Ste 106, Bellevue, NE 68123-3235 | 2019-10-04 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1295283570 | Gina Kim | Pharmacist | 13024 Se 47th Pl, Bellevue, WA 98006-2070 | 2016-09-15 |
| 1396292173 | Ross Burnett | Pharmacist | 2331 130th Ave Ne Ste 200, Bellevue, WA 98005-1760 | 2016-09-08 |
| 1760939052 | Emilie Mika Ito | Pharmacist | 14118 Se 61st Pl, Bellevue, WA 98006-4375 | 2016-09-05 |
| 1972056398 | Bethany Coquerille | Pharmacist | 4411 Waterford Ave, Bellevue, NE 68123-6269 | 2016-08-02 |
| 1114396447 | Mary Pak | Pharmacist | 12267 Ne 3rd Pl, Bellevue, WA 98005-4821 | 2015-09-16 |
| 1932576436 | Sheryle Ishimoto | Pharmacist | 317 112th Ave Ne Apt 719, Bellevue, WA 98004-6572 | 2015-08-31 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.