MR. MATTHEW BRIAN HENDRICKS (NPI# 1821638404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821638404 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW BRIAN HENDRICKS |
| Credential | PMHNP, APRN |
| Practice Address |
117 Commons Way Greenville SC 29611-3850 |
| Mailing Address |
36 Brentwood Dr Greenville SC 29609-3811 |
| Practice Telephone | 8645202020 |
| Mailing Telephone | 8648842468 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
23589 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053974113 | Matthew C Hendricks | Chiropractor | 151 S Main Ste 4, Cedar Springs, MI 49319-8950 | 2019-04-15 |
| 1033684873 | Matthew Hendricks | Dermatology | 3 Sw 129th Ave Ste 100, Pembroke Pines, FL 33027-1778 | 2018-10-08 |
| 1104391325 | Matthew Thomas Hendricks | Optometrist | 13195 Weaver Lake Rd, Maple Grove, MN 55369 | 2018-10-04 |
| 1295115939 | Matthew Hendricks | Chiropractor | 4926 42nd Ave N, Robbinsdale, MN 55422-1731 | 2015-06-08 |
| 1346662830 | Matthew James Hendricks | Specialist/Technologist | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2014-01-17 |
| Street Address |
117 COMMONS WAY |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29611-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467580555 | Cathleen Marie Crowley-koschnitzki | Nurse Practitioner | 117 Commons Way, Greenville, SC 29611-3850 | 2007-03-01 |
| 1083213995 | Lisa Ann Finch | Nurse Practitioner | 117 Commons Way, Greenville, SC 29611-3850 | 2020-10-21 |
| 1346896255 | Cynthia Baker | Nurse Practitioner | 117 Commons Way, Greenville, SC 29611-3850 | 2019-08-15 |
| 1629517222 | Itrust Wellness Group | Nurse Practitioner | 117 Commons Way, Greenville, SC 29611-3850 | 2017-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028393 | Kristina Diane Allred | Physician Assistant | 3613 Sc-153, Powdersville, SC 29611 | 2019-11-19 |
| 1790264497 | Prisma Health-upstate | General Acute Care Hospital | 11404 Anderson Rd, Greenville, SC 29611 | 2018-08-13 |
| 1053806380 | Hannah Jones | Registered Nurse | 111 Commons Way, Greenville, SC 29611 | 2018-06-28 |
| 1053813873 | Angelika Estefania Batres Navarro | Dentist | 6134 White Horse Rd Ste C, Greenville, SC 29611 | 2018-03-07 |
| 1356851398 | Vanessa Dickey Leverette | Doula | 802 Staunton Bridge Rd, Greenville, SC 29611 | 2017-10-04 |
| 1083084545 | Aegis Family Services, LLC | Counselor | 165 Staunton Bridge Rd., Greenville, SC 29611 | 2015-09-28 |
| 1417330226 | A Different World After School | Counselor | 165 Staunton Bridge Road, Greenville, SC 29611 | 2015-06-30 |
| 1568800415 | Shasta Dawn Vance | Occupational Therapist | : 21 Mcbeth Street Greenville, Greenville, SC 29611 | 2013-06-12 |
| 1013220391 | Tooth Zone - Zona Dientes | Dentist | 103 Commons Way, Greenville, SC 29611 | 2010-07-15 |
| 1689867400 | Christopher George Loubier | Specialist/Technologist | 201 Smythe St, #225, Greenville, SC 29611 | 2007-08-24 |
| Find all providers in zip 29611 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172502 | Luron M Fleming | Nurse Practitioner | 712 Arlington Ave, Greenville, SC 29601-3206 | 2020-04-08 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1043869118 | Anchored Wellness LLC | Nurse Practitioner | 128 Millport Cir Ste 200, Greenville, SC 29607-5573 | 2019-09-10 |
| 1861052979 | Susan Lally | Nurse Practitioner | 707 Wh Smith Blvd, Greenville, NC 27834-3752 | 2019-06-20 |
| 1891358867 | Christina L. Green, Pmhnp-bc, Pllc | Nurse Practitioner | 3101 Joe Ramsey Blvd E Ste 104, Greenville, TX 75401-7762 | 2019-04-16 |
| 1245791722 | William M Hendricks IIi | Nurse Practitioner | 565 Waterbrook Dr, Greenville, SC 29607-4878 | 2019-03-27 |
| 1538615265 | Stephanie Webb | Nurse Practitioner | 925 Conference Dr., Greenville, NC 27858 | 2016-09-01 |
| 1619321163 | Christina Leann Green | Nurse Practitioner | 4702 Wesley St Ste C, Greenville, TX 75401-5663 | 2016-04-21 |
| 1285966036 | Lavena S Wilkes | Nurse Practitioner | 222 Adley Way, Greenville, SC 29607 | 2010-02-04 |
| 1205917168 | Karen Diane Tipton | Nurse Practitioner | 97 Market Point Dr, #406, Greenville, SC 29607-4135 | 2006-10-18 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29611 |
Please comment or provide details below to improve the information on MR. MATTHEW BRIAN HENDRICKS.
| 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.