TIMOTHY ALLEN HENDRICKSON (NPI# 1578848594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578848594 |
| Entity Type | Individual |
| Full Name | TIMOTHY ALLEN HENDRICKSON |
| Credential | LPN-C |
| Practice Address |
1305 Bluff St Hamburg IA 51640-1345 |
| Practice Telephone | 4022029830 |
| Mailing Telephone | 4022029830 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | P36311 | IA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861468522 | Timothy Hendrickson | Internal Medicine | 149 North St, Mgha Hospitalist Program, Waterville, ME 04901-4974 | 2006-02-23 |
| Street Address |
1305 BLUFF ST |
| City | HAMBURG |
| State | IA |
| Zip Code | 51640-1345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487792131 | Kipley Verne Anderson | Registered Nurse | 2959 Hwy 275, Hamburg, IA 51640 | 2007-02-02 |
| 1730130428 | Hamburg Fire Protection Agency | Ambulance | 711 Main St, Hamburg, IA 51640-1164 | 2006-05-15 |
| 1215084645 | Hamburg C.s.d. | Local Education Agency (LEA) | 105 E St, Hamburg, IA 51640-1221 | 2007-01-05 |
| 1104992866 | Stoner Drug Co | Durable Medical Equipment & Medical Supplies | 1105 Main St, Hamburg, IA 51640-1233 | 2006-11-27 |
| 1841247699 | Southwest Iowa Medical Services Inc | Durable Medical Equipment & Medical Supplies | 1109 Main St, Hamburg, IA 51640-1233 | 2006-05-27 |
| 1770067779 | Megan Elizabeth Gardner | Pharmacist | 1105 Main St, Hamburg, IA 51640-1233 | 2018-09-17 |
| 1619164167 | Alegent Health Bergan Mercy Health System | Durable Medical Equipment & Medical Supplies | 1109 Main St, Hamburg, IA 51640-1233 | 2007-09-28 |
| 1467411355 | Hamburg Chiropractic Clinic PC | Chiropractor | 1108 Main St, Hamburg, IA 51640-1234 | 2006-03-21 |
| 1649249012 | Michael John Gallagher | Chiropractor | 1108 Main St, Hamburg, IA 51640-1234 | 2006-03-16 |
| 1174595714 | Thomas Homer Largen | Family Medicine | 1219 Main St, Hamburg, IA 51640-1300 | 2006-02-07 |
| Find all providers in zip 51640 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053882100 | Precious Caliz | Licensed Practical Nurse | 3104 Lake Heights Dr, Hamburg, NY 14075-3521 | 2018-12-16 |
| 1669904207 | Eric Alyn Syms | Licensed Practical Nurse | 3947 Harvard St, Hamburg, NY 14075-2806 | 2017-04-02 |
| 1972976611 | Eleanor Murcko | Licensed Practical Nurse | 4721 Bay View Rd, Hamburg, NY 14075-1509 | 2015-11-03 |
| 1871973412 | Denise Fox | Licensed Practical Nurse | 43 Wanakah Hts, Hamburg, NY 14075-5730 | 2015-06-08 |
| 1821493099 | Hollie Michelle Potter | Licensed Practical Nurse | 5001 Chapman Pkwy, Hamburg, NY 14075-5512 | 2014-10-29 |
| 1205254604 | Suzanne Marie Randle | Licensed Practical Nurse | 4122 Sowles Rd Apt 112, Hamburg, NY 14075-7539 | 2014-04-02 |
| 1225392574 | Traci Ann Moore | Licensed Practical Nurse | 5278 Southwestern Blvd, Unit 904, Hamburg, NY 14075-8000 | 2012-07-02 |
| 1245505916 | Holly Nace | Licensed Practical Nurse | 4461 Clark St, Hamburg, NY 14075-3809 | 2012-03-14 |
| 1558670133 | Jaime Theron | Licensed Practical Nurse | 4352 Robin Ln, Hamburg, NY 14075-1219 | 2010-09-30 |
| 1386963585 | Sonya Rivera | Licensed Practical Nurse | 10 Pale Star Ct, Hamburg, NJ 07419-2423 | 2010-05-27 |
| Find all providers in HAMBURG | ||||
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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.