ANDREA ELIZABETH HENDRICKS (NPI# 1376570283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376570283 |
| Entity Type | Individual |
| Full Name | ANDREA ELIZABETH HENDRICKS |
| Credential | PAC |
| Practice Address |
615 Niagara Ct Umd Health Services Duluth MN 55812-3065 |
| Mailing Address |
5290 Lakewood Road Duluth MN 55804 |
| Practice Telephone | 2187268155 |
| Practice Fax Number | 2187266132 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9308 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700216199 | Andrea Hendricks | Psychologist | 402 Office Park Dr, Mountain Brk, AL 35223-2417 | 2013-11-21 |
| 1447424437 | Andrea Hendricks | Nurse's Aide | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2008-04-22 |
| Street Address |
615 NIAGARA CT UMD HEALTH SERVICES |
| City | DULUTH |
| State | MN |
| Zip Code | 55812-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952394827 | Sharon Wessel Anderson | Nurse Practitioner | 615 Niagara Ct, Duluth, MN 55812-3065 | 2005-08-25 |
| 1710064779 | Univ of Mn Duluth Health Services | Clinic/Center | 615 Niagara Ct, Duluth, MN 55812-3065 | 2006-11-01 |
| 1235180316 | David Maxwell Worley | Family Medicine | 615 Niagara Ct, Duluth, MN 55812-3065 | 2006-05-13 |
| 1902894892 | Susan Elizabeth Rhoads | Nurse Practitioner | 615 Niagara Ct, Duluth, MN 55812-3065 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942743950 | Thomas Anthony Olson | Specialist/Technologist | 1049 Ordean Court, 170 Sports & Health Center, Duluth, MN 55812 | 2016-11-22 |
| 1922457183 | Zen Eye Care Pllc | Optometrist | 2106 London Road, Duluth, MN 55812 | 2016-06-08 |
| 1295134088 | Charla Buxbaum | Specialist/Technologist | 1216 Ordean Ct. Sphc 170, University of Minnesota Duluth, Duluth, MN 55812 | 2014-08-18 |
| 1346473998 | Patricia A Trachte | Nurse Practitioner | 107 Ksc, Umd Quick Care, Duluth, MN 55812 | 2009-08-31 |
| 1003088543 | Arrowhead House Inc | Community Based Residential Treatment Facility, Mental Illness | 16 South 18th Avenue East, Duluth, MN 55812 | 2008-03-25 |
| 1073689295 | Nicolle Marie Nicklas | Nurse Anesthetist, Certified Registered | 219 Garden St., Duluth, MN 55812 | 2006-11-28 |
| 1346328762 | Timothy Patrick Stratton | Pharmacist | 386a Kirby Plaza, 1208 Kirby Drive, Duluth, MN 55812 | 2006-11-02 |
| 1316960701 | Questar Duluth, Inc | Specialist | 1527 London Road, Duluth, MN 55812 | 2006-07-26 |
| 1063401297 | Clinton T Moen | Specialist | 2711 E 5th St, Duluth, MN 55812 | 2005-10-20 |
| 1124016563 | Christine Aas-larson | Nurse Practitioner | 1502 London Road, Suite 102, Duluth, MN 55812 | 2005-10-10 |
| Find all providers in zip 55812 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336615921 | Katelyn M Walsh | Physician Assistant | 400 E Third Street, Duluth, MN 55805-1951 | 2018-10-22 |
| 1164977468 | Chelsea Ruda | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805 | 2016-08-17 |
| 1083023733 | Jillian Reed | Physician Assistant | 407 E 3rd St, Duluth, MN 55805-1950 | 2014-08-07 |
| 1538402763 | Larissa Pirie Messenger | Physician Assistant | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2013-04-06 |
| 1790031011 | Arlene L Salmon | Physician Assistant | 4855 River Green Pkwy, Suite 700, Duluth, GA 30096-8336 | 2012-07-24 |
| 1588963490 | Sandra Sullivan | Physician Assistant | 3497 Duluth Park Ln, Suite 200, Duluth, GA 30096-3227 | 2011-03-17 |
| 1376848549 | Nathina Scarlett Melton | Physician Assistant | 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 | 2011-01-20 |
| 1568776409 | Pamela J Hermes | Physician Assistant | 407 East Third Street, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2010-08-03 |
| 1952531444 | Thomas John Kogowski | Physician Assistant | 407 East 3rd Street, St. Mary's Medical Center, Duluth, MN 55805 | 2009-07-20 |
| 1023276334 | Donna L Crawford | Physician Assistant | 3855 Pleasant Hill Rd, Suite 420, Duluth, GA 30096-1407 | 2008-05-23 |
| Find all providers in DULUTH | ||||
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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.