BROOKE CARROLL HENDRICK (NPI# 1649829128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649829128 |
| Entity Type | Individual |
| Full Name | BROOKE CARROLL HENDRICK |
| Credential | RD |
| Practice Address |
4506 Epinay Ct Louisville KY 40272-2777 |
| Practice Telephone | 5026192458 |
| Mailing Telephone | 5026192458 |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2019-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86090047 | KY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831148113 | Brooke M Hendrick | Nurse Anesthetist, Certified Registered | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2006-05-06 |
| Street Address |
4506 EPINAY CT |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40272-2777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649795105 | Jewell Elizabeth Berger | Occupational Therapist | 9700 Stone Street Rd, Louisville, KY 40272 | 2017-08-07 |
| 1235668658 | Jessica Cook | Occupational Therapy Assistant | 12420 Hedgeapple Way, Louisville, KY 40272 | 2017-06-08 |
| 1033468525 | Shawn Thomas Benningfield | Counselor | 9702 Stonestreet Rd Ste 120, Louisville, KY 40272 | 2012-08-30 |
| 1386956415 | Jeannette M Martin | Marriage & Family Therapist | 9800 Stonestreet Rd, Louisville, KY 40272 | 2010-07-06 |
| 1437346145 | Community Family Living, LLC | Day Training, Developmentally Disabled Services | 610 Valley College Dr., Louisville, KY 40272 | 2007-09-26 |
| 1982797403 | William Spencer Shipley | Dentist | 9900 Old Third Street Road, Louisville, KY 40272 | 2006-10-02 |
| 1962513317 | Teresa May Wright | Nurse Practitioner | 1912 Penile Rd, Valley Station, KY 40272 | 2006-08-31 |
| 1710400734 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 701 Valley College Dr, Louisville, KY 40272 | 2017-07-21 |
| 1952851859 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 9702 Stonestreet Rd, Suite 120, Louisville, KY 40272 | 2016-10-04 |
| 1780090233 | Umama Sadia | Family Medicine | 9702 Stonestreet Rd, Louisville, KY 40272 | 2014-07-05 |
| Find all providers in zip 40272 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908727 | Laura Elizabeth Dean | Dietitian, Registered | 411 E Chestnut St Ste 544, Louisville, KY 40202-1713 | 2020-09-25 |
| 1629684907 | Jaclyn Vaughn Moore | Dietitian, Registered | 234 E Gray St Ste 164, Louisville, KY 40202-1903 | 2020-09-22 |
| 1790391118 | Elizabeth Marie Riddle | Dietitian, Registered | 4955 Norton Healthcare Blvd Ste 102, Louisville, KY 40241-2832 | 2020-09-21 |
| 1801401294 | Elizabeth Bell | Dietitian, Registered | 241 Franck Ave, Louisville, KY 40206-2544 | 2020-09-11 |
| 1235751504 | Jessica Leigh Heckroth | Dietitian, Registered | 633 E Main St Unit 558, Louisville, KY 40202-4711 | 2020-05-10 |
| 1164060356 | Jennifer Nixon | Dietitian, Registered | 3329 Wellingmoor Ave, Louisville, KY 40218-1028 | 2019-12-18 |
| 1023669025 | Olivia Nell Hoelker | Dietitian, Registered | 9105 Hassy Way, Louisville, KY 40299-6645 | 2019-09-23 |
| 1407315153 | Shawn A. Sales | Dietitian, Registered | 1607 Bonnycastle Ave, Louisville, KY 40205-1012 | 2019-03-12 |
| 1821588443 | Catherine Boston | Dietitian, Registered | 2602 Merriwood Dr, Louisville, KY 40299-1735 | 2018-05-18 |
| 1689175283 | Katie Eileen Johnson | Dietitian, Registered | 4804 Nottinghamshire Dr, Louisville, KY 40299-1033 | 2018-02-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40272 |
Please comment or provide details below to improve the information on BROOKE CARROLL HENDRICK.
| 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.