JESSICA HENDRIX (NPI# 1386017853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386017853 |
| Entity Type | Individual |
| Full Name | JESSICA HENDRIX |
| Other Name | JESSICA BRAUN |
| Credential | PA-C |
| Practice Address |
1302 Franklin Ave Ste 2500 Normal IL 61761 |
| Mailing Address |
4400 W 95th St Ste 308 Oak Lawn IL 60453-2660 |
| Practice Telephone | 3093683240 |
| Practice Fax Number | 3092683245 |
| Mailing Telephone | 7083464040 |
| Mailing Fax Number | 7083463287 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2018-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085-005908 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 085005908 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841721065 | Jessica Hendrix | Counselor | 2125 Data Office Dr Ste 101, Hoover, AL 35244-2530 | 2017-03-21 |
| 1609295732 | Jessica Hendrix | Counselor | 4804 Hammerstone Trl, Killeen, TX 76542-5380 | 2014-04-16 |
| 1457588980 | Jessica Lynn Hendrix | Registered Nurse | 1124 Willowdale Ave, Kettering, OH 45429-4735 | 2009-06-11 |
| 1821531005 | Jessica Hendrix | Specialist | 400 Cedar St, Metter, GA 30439-3338 | 2016-11-21 |
| 1083098628 | Jessica Lynn Hendrix | Registered Nurse | 2139 Auburn Ave, Inpatient Cardiology, Cincinnati, OH 45219 | 2015-07-14 |
| 1235531864 | Jessica Hendrix | Speech-Language Pathologist | 1670 Highway 160 W, Suite 201, Fort Mill, SC 29708-8063 | 2014-09-26 |
| Street Address |
1302 FRANKLIN AVE STE 2500 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255353603 | Kimberly P. Marshall | Pediatrics | 1302 Franklin Ave Ste 2500, Normal, IL 61761-6526 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194150466 | Jodi Rappa | Physician Assistant | 1604 Visa Dr, Ste. 2, Normal, IL 61761-2195 | 2013-09-05 |
| 1053744334 | Rylan Miyat | Physician Assistant | 1604 Visa Dr, Ste. 2, Normal, IL 61761-2195 | 2013-08-09 |
| 1285871764 | Emily Wolf | Physician Assistant | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| 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.