MRS. KATERI HENDRICKSON (NPI# 1407311145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407311145 |
| Entity Type | Individual |
| Full Name | MRS. KATERI HENDRICKSON |
| Practice Address |
989 Burnt Tavern Rd Ste 2 Brick NJ 08724-2014 |
| Practice Telephone | 7328363049 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00900900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
989 BURNT TAVERN RD STE 2 |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336231935 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 989 Burnt Tavern Rd Ste 2, Brick, NJ 08724-2003 | 2006-09-29 |
| 1356851711 | Brianna L Krug | Nurse Practitioner | 989 Burnt Tavern Rd Ste 2, Brick, NJ 08724-2014 | 2017-10-11 |
| 1477922789 | Ashley Elizabeth Yannotta | Nurse Practitioner | 989 Burnt Tavern Rd Ste 2, Brick, NJ 08724-2014 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1346895778 | Mary May Montenegro | Nurse Practitioner | 220 Samantha Ct, Brick, NJ 08724-7133 | 2019-08-02 |
| 1912564428 | Jan Ford | Nurse Practitioner | 35 Appleton Dr, Brick, NJ 08723-7907 | 2019-05-21 |
| 1528523867 | Melissa A. Johnson | Nurse Practitioner | 190 Jack Martin Blvd Bldg B3, Brick, NJ 08724-7728 | 2019-01-31 |
| 1710313341 | Lauren Courtney Bracken | Nurse Practitioner | 989 Burnt Tavern Rd, Suite 2, Brick, NJ 08724-2014 | 2013-09-14 |
| 1750539771 | Stephanie Giles | Nurse Practitioner | 1673 Highway 88, Brick, NJ 08724-3071 | 2008-09-03 |
| 1477733483 | Laurie Elleanore Greisch | Nurse Practitioner | 150 Chambersbridge Rd, Suite 201, Brick, NJ 08723-3491 | 2007-11-07 |
| 1861092009 | Shirielle Tziporah Avakian | Nurse Practitioner | 2125 Route 88, Brick, NJ 08724-3273 | 2020-10-27 |
| 1679197933 | Pessy Kramer | Nurse Practitioner | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-06-02 |
| 1427685205 | Heather Attardo | Nurse Practitioner | 989 Burnt Tavern Rd, Brick, NJ 08724-2014 | 2020-03-24 |
| Find all providers in BRICK | ||||
Please comment or provide details below to improve the information on MRS. KATERI HENDRICKSON.
| 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.