JENNIFER A. HENDRICKS (NPI# 1053402735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053402735 |
| Entity Type | Individual |
| Full Name | JENNIFER A. HENDRICKS |
| Other Name | JENNIFER A. KOCH |
| Credential | FNP-BC |
| Practice Address |
2200 Wabash Ave Springfield IL 62704-5352 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2403 |
| Practice Telephone | 2175287541 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209-005252 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235457581 | Jennifer Lynn Hendricks | Pharmacist | 9812 Mercy Rd Apt 3, San Diego, CA 92129-5041 | 2010-05-12 |
| 1386841716 | Jennifer Lynn Hendricks | Family Medicine | 5868 N Hamilton Rd, Ste 200, Columbus, OH 43230 | 2007-06-29 |
| 1679100424 | Jennifer Danyel Hendricks | Student in an Organized Health Care Education/Training Program | 777 Hemlock St, Macon, GA 31201-2102 | 2020-03-23 |
| 1801441274 | Jennifer Bree Hendricks | Pharmacist | 11475 E Via Linda, Scottsdale, AZ 85259-2638 | 2019-08-02 |
| 1306293451 | Jennifer Claire Hendricks | Speech-Language Pathologist | 6705 W 12th St, Suite 3, Little Rock, AR 72204-1515 | 2016-05-18 |
| 1760722276 | Jennifer Lee Hendricks | Physical Therapy Assistant | 7500 W Dean Rd, Milwaukee, WI 53223-2638 | 2013-02-20 |
| 1396070108 | Jennifer C Hendricks | Counselor | 4950 Memorial Dr, Houston, TX 77007-7440 | 2009-10-12 |
| 1063676062 | Jennifer Leigh Hendricks | Physician Assistant | 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 | 2008-07-18 |
| 1598922833 | Jennifer Hendricks | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2008-05-22 |
| Street Address |
2200 WABASH AVE |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-5352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003867342 | Julie C Hart | Physician Assistant | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2006-05-12 |
| 1760046288 | Clarissa A. Reed | Physician Assistant | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2019-04-30 |
| 1386208619 | Jessica J. Sanders | Registered Nurse | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2019-04-22 |
| 1508354622 | Jennifer Colleen Gostowski | Social Worker | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2018-04-24 |
| 1225541188 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2017-11-14 |
| 1568832137 | Taylor M. Manning | Physician Assistant | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2015-09-25 |
| 1740670736 | Heather N. Rothert | Nurse Practitioner | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2015-01-28 |
| 1568877876 | Christopher Martinek | Family Medicine | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2014-06-25 |
| 1033521323 | Jessica R. Stevens | Dietitian, Registered | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2014-05-21 |
| 1295082261 | Melissa M. Osowski | Nurse Practitioner | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2012-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on JENNIFER A. 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.