MS. COLINDA ANDERSON HENDRICKS (NPI# 1730274481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730274481 |
| Entity Type | Individual |
| Full Name | MS. COLINDA ANDERSON HENDRICKS |
| Credential | M.A. |
| Practice Address |
224 N. Main Street Jefferson NC 28640-1131 |
| Mailing Address |
348 Cherry Tree Lane Creston NC 28615 |
| Practice Telephone | 3368461455 |
| Mailing Telephone | 3363859595 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1903 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 135VT | 01 |
| NC | 6107113 | 05 |
| Street Address |
224 N. MAIN STREET |
| City | JEFFERSON |
| State | NC |
| Zip Code | 28640-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851368781 | Barbara Ann Brown | Counselor | 224 N. Main Street, Jefferson, NC 28640-0816 | 2006-02-28 |
| 1316165673 | Paulette Griffith Lawrence | Social Worker | 224 N. Main Street, Jefferson, NC 28640 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
| 1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
| 1710388772 | Schuster Physical Therapy Inc. | Clinic/Center | 419 E. Main St., Jefferson, NC 28640 | 2014-09-09 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1093029498 | Robin Arlene Edwards | Nurse Practitioner | 151 Medical Park Dr., Jefferson, NC 28640 | 2010-07-28 |
| 1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
| 1730363342 | Ashe County Public Schools | Local Education Agency (LEA) | 320 South Street, Jefferson, NC 28640 | 2007-12-19 |
| Find all providers in zip 28640 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184772543 | Maureen Madeline Lavallee | Psychologist | 358 Quinapoxet St, Jefferson, MA 01522-1438 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708062 | Daniel Vanhoy Blalock | Psychologist | 411 W Chapel Hill St Ste 600, Durham, NC 27701-3270 | 2020-10-20 |
| 1770181059 | Blake Daniel Herd | Psychologist | 1501 Highwoods Blvd Ste 101, Greensboro, NC 27410-2051 | 2020-10-09 |
| 1306453832 | Hsiao-wen Wang | Psychologist | 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 | 2020-09-29 |
| 1265048342 | Joseph Giles Winger | Psychologist | 2200 W Main St Erwin Square Plaza, Durham, NC 27710-0001 | 2020-09-23 |
| 1447877618 | Sarah M Amedoro | Psychologist | 930 Dillingham Rd, Barnardsville, NC 28709-9784 | 2020-07-02 |
| 1518584986 | Amber Nikole Bates | Psychologist | 83 W Moss Creek Dr, Clayton, NC 27520-6908 | 2020-07-01 |
| 1013530831 | Lari Meeker Jackson | Psychologist | 832 Laurel Garden Way, Cary, NC 27513-2046 | 2020-05-27 |
| 1124640537 | Katherine Ramos | Psychologist | 2200 W Main St Ste 300, Durham, NC 27705-4677 | 2020-05-08 |
| 1104447242 | Arbor Behavioral Health | Psychologist | 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 | 2020-04-29 |
| 1679109300 | Carol D Nudelman | Psychologist | 10 Twinflower Trl, Asheville, NC 28804-0044 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
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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.