NICOLE HENDRICKSON (NPI# 1881242725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881242725 |
| Entity Type | Individual |
| Full Name | NICOLE HENDRICKSON |
| Credential | FNP-BC |
| Practice Address |
431 W Liberty St Wauconda IL 60084-2452 |
| Mailing Address |
Po Box 6037 Wauconda IL 60084-6037 |
| Practice Telephone | 8475262151 |
| Mailing Telephone | 8475262151 |
| Mailing Fax Number | 8475262017 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209020152 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423565 | Nicole Hendrickson | Counselor | 1059 Nw Madras Hwy, Prineville, OR 97754-1416 | 2020-10-07 |
| 1073064846 | Nicole Hendrickson | Counselor | 617 S Olive St, Suite 708, Los Angeles, CA 90014-1605 | 2016-10-17 |
| Street Address |
431 W LIBERTY ST |
| City | WAUCONDA |
| State | IL |
| Zip Code | 60084-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335996 | David J Alengo | Family Medicine | 431 W Liberty St, Wauconda, IL 60084-2452 | 2005-09-09 |
| 1104423094 | Corrie Mcmahon | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2020-10-05 |
| 1093349391 | Celestia Arendall Nielsen | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2020-02-25 |
| 1619529138 | Wendy Marie Belletynee | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2019-07-15 |
| 1508336918 | Lisabeth N. Morrisroe | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2018-11-28 |
| 1053800516 | Karen Anne Fermin Violago | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2018-05-09 |
| 1114415205 | Kaitlyn Jamie Lundgren | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084 | 2018-04-25 |
| 1396246450 | Jessica Helen Partyka | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2018-02-23 |
| 1841718087 | Michelle Naurecki | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084 | 2017-09-08 |
| 1093254443 | Tabitha Gardner | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2017-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305660 | Reynaldo D Dado | Physical Medicine & Rehabilitation | 2751 Cedar Creek Cut-off Rd, Wauconda, IL 60084 | 2020-08-05 |
| 1841719705 | Aneena Susan Philip | Pharmacist | 547 W Liberty Street, Wauconda, IL 60084 | 2017-09-12 |
| 1164897476 | Laura Dobson | Nurse Practitioner | 450 West Route 22, Wauconda, IL 60084 | 2015-12-11 |
| 1366816514 | Family Medicine Specialists, S.c. | Non-Pharmacy Dispensing Site | 431 W Liberty Street, Wauconda, IL 60084 | 2015-11-25 |
| 1922408822 | Accuvision Inc | Optometrist | 573 W. Liberty, Wauconda, IL 60084 | 2014-08-27 |
| 1982041851 | Sara J Hollis | Counselor | 227 N. Main Street, Wauconda, IL 60084 | 2013-05-31 |
| 1639321482 | Stacie Wharton | Physician Assistant | 431 West Liberty Street, Wauconda, IL 60084 | 2008-10-10 |
| 1336207893 | Kurt Allan Bohl | Dentist | 469 West Liberty Street, Suite C, Wauconda, IL 60084 | 2006-12-05 |
| 1316013386 | William Richard Womer | Chiropractor | 604 E Liberty St, Wauconda, IL 60084 | 2006-11-28 |
| 1639283583 | Luis Planas | Internal Medicine | 363 N Main St, Wauconda, IL 60084 | 2006-08-18 |
| Find all providers in zip 60084 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639523129 | Maria Agnes Abadia Perez | Nurse Practitioner | 2755 Cedar Creek Cutoff Rd, Wauconda, IL 60084-5007 | 2016-04-20 |
| 1164897476 | Laura Dobson | Nurse Practitioner | 450 West Route 22, Wauconda, IL 60084 | 2015-12-11 |
| 1104423094 | Corrie Mcmahon | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2020-10-05 |
| 1093349391 | Celestia Arendall Nielsen | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2020-02-25 |
| 1619529138 | Wendy Marie Belletynee | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2019-07-15 |
| 1508336918 | Lisabeth N. Morrisroe | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2018-11-28 |
| 1053800516 | Karen Anne Fermin Violago | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2018-05-09 |
| 1114415205 | Kaitlyn Jamie Lundgren | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084 | 2018-04-25 |
| 1396246450 | Jessica Helen Partyka | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2018-02-23 |
| 1093254443 | Tabitha Gardner | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2017-02-17 |
| Find all providers in WAUCONDA | ||||
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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.