JOE HENRY HENDRICKS JR. (NPI# 1407317191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407317191 |
| Entity Type | Individual |
| Full Name | JOE HENRY HENDRICKS JR. |
| Credential | FNP |
| Practice Address |
200 Veterans Ave Beckley WV 25801-6444 |
| Mailing Address |
314 Glenwood Park Rd Princeton WV 24739-7252 |
| Practice Telephone | 3042552121 |
| Practice Fax Number | 3042565127 |
| Mailing Telephone | 3044256896 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN66335-FNP-BC | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 VETERANS AVE |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-6444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735981 | John David Berryman | Obstetrics & Gynecology | 200 Veterans Ave, Beckley, WV 25801-6444 | 2005-10-25 |
| 1265031991 | Kristy Lea Moeller | Nurse Practitioner | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-23 |
| 1316546047 | Candice Marie Young | Registered Nurse | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-23 |
| 1902403686 | Ashley Brooke Dorsey | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-05 |
| 1487251450 | Victoria Ann Redden | Registered Nurse | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-02 |
| 1598371726 | Robert David Estepp II | Recreation Therapist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-09-22 |
| 1316562978 | Leila Ann Tilley | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-06-10 |
| 1811510001 | Hannah Davidson Keeney | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-05-21 |
| 1841820628 | Staci Morgan Little | Social Worker | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-01-22 |
| 1104473354 | Liem Nguyen | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418062 | Tiffanie Renee' Snyder | Nurse Practitioner | 300 Carriage Dr, Beckley, WV 25801-2812 | 2019-07-15 |
| 1467946350 | Christy Renae Smith | Nurse Practitioner | 250 Stanaford Rd Ste 209, Beckley, WV 25801-3140 | 2018-06-14 |
| 1730607870 | King's Willness and Weight Loss Centers LLC | Nurse Practitioner | 111 Morning Star Lane, Beckley, WV 25801-7118 | 2017-09-08 |
| 1366891723 | Inspire Health | Nurse Practitioner | 409 North Kanawha St., Beckley, WV 25801-3856 | 2016-06-07 |
| 1164817763 | Rural Acres Infusion, LLC | Nurse Practitioner | 117 Rural Acres Dr, Beckley, WV 25801-3579 | 2015-03-31 |
| 1790059459 | Michelle Ellis | Nurse Practitioner | 3157 Robert C. Byrd Dr., Beckley, WV 25801 | 2012-02-28 |
| 1437429362 | Peggy Jane Huffman | Nurse Practitioner | 3771 Robert C Byrd Dr, Box 1307, Beckley, WV 25801-2945 | 2012-01-10 |
| 1346510716 | John Wayne Lilly Jr. | Nurse Practitioner | 330 N. Eisenhower Dr., Beckley, WV 25801-3140 | 2012-01-03 |
| 1598992943 | Angel L Stover | Nurse Practitioner | 1810 Harper Rd, Ste A, Beckley, WV 25801-3331 | 2009-06-12 |
| 1710113022 | Cheryl Ann Winter | Nurse Practitioner | 111 Randolph St, Beckley, WV 25801-5962 | 2009-06-02 |
| Find all providers in BECKLEY | ||||
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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.