ERICA HENDRESS (NPI# 1538428875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538428875 |
| Entity Type | Individual |
| Full Name | ERICA HENDRESS |
| Credential | FNP |
| Practice Address |
523 South State Road 67 Minute Clinic Mooresville IN 46158-4529 |
| Mailing Address |
3613 Newberry Rd Plainfield IN 46168-7364 |
| Practice Telephone | 3178312661 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2013-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28186432A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RN | 28186432A | 01 |
| IN | APN PRESCRIPTIVE AUTHORITY | 71004037A | 01 |
| IN | CSR | 71004037B | 01 |
| Street Address |
523 SOUTH STATE ROAD 67 MINUTE CLINIC |
| City | MOORESVILLE |
| State | IN |
| Zip Code | 46158-4529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352613 | Victoria Shay Parsons | Pharmacist | 523 Sr-67 N, Mooresville, IN 46158 | 2020-09-30 |
| 1083150049 | Terri Joann Hughes | Hearing Instrument Specialist | Mobile / Home Care, Mooresville, IN 46158 | 2017-01-16 |
| 1578938650 | Harrison County Hospital | Skilled Nursing Facility | 302 North Johnson Road, Mooresville, IN 46158 | 2015-12-01 |
| 1598100323 | William Oh | Colon & Rectal Surgery | 1215 Hadley Rd Ste 201, Mooresville, IN 46158 | 2013-05-07 |
| 1134405855 | Antonios Spiros Kantzavelos | Pharmacist | 115 Fields Road, Mooresville, IN 46158 | 2011-10-26 |
| 1588940308 | Sarah E Grindle | Pharmacist | 115 Fields Rd., Mooresville, IN 46158 | 2011-10-25 |
| 1487884805 | Abundant Life Chiropractic | Chiropractor | 902 N Old State Rd 67, Mooresville, IN 46158 | 2009-07-20 |
| 1770614760 | W F Kirby | Optometrist | 11625 N Oldfield Ln, Mooresville, IN 46158 | 2007-03-08 |
| 1730269192 | Travis L Bauer | Dentist | 420 S Indiana St, Mooresville, IN 46158 | 2006-10-17 |
| 1457396707 | Sidney L Gilbert | Pediatrics | 100 Town Center Drive, Suite B, Mooresville, IN 46158 | 2006-06-19 |
| Find all providers in zip 46158 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079356 | Brianna Helen Devalk | Nurse Practitioner | 161 Mott Rd, Mooresville, NC 28115-8588 | 2020-10-06 |
| 1497361067 | Kara Lloyd | Nurse Practitioner | 105 Sapling St Apt 101, Mooresville, NC 28117-7063 | 2020-09-19 |
| 1710518220 | Katie T Kissel | Nurse Practitioner | 128 E Plaza Dr Ste 3, Mooresville, NC 28115-8000 | 2020-02-03 |
| 1942844527 | Samuel Sackenheim | Nurse Practitioner | 117 Clodfelter Rd, Mooresville, NC 28115-7810 | 2019-11-06 |
| 1932743846 | Amber W Waddell | Nurse Practitioner | 103 Sandreed Dr, Mooresville, NC 28117-4360 | 2019-11-04 |
| 1205483922 | Elizabeth Lamb | Nurse Practitioner | 510 River Hwy Ste 15a, Mooresville, NC 28117-6943 | 2019-08-19 |
| 1023520301 | Dawn Marie Cahn | Nurse Practitioner | 137 Shavender Dr, Mooresville, NC 28117-6407 | 2017-10-26 |
| 1831637545 | Gisela Blake | Nurse Practitioner | 112 Argus Ln Ste A, Mooresville, NC 28117-9270 | 2017-02-02 |
| 1215338330 | Michelle Jackson | Nurse Practitioner | 115 Fields St # De, Mooresville, IN 46158-1492 | 2014-09-08 |
| 1407860182 | Kristie D. Smith | Nurse Practitioner | 544 Brawley School Rd, Ste A, Mooresville, NC 28117-9393 | 2006-07-28 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 46158 |
Please comment or provide details below to improve the information on ERICA HENDRESS.
| 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.