AMANDA HENDRICKS (NPI# 1679867014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679867014 |
| Entity Type | Individual |
| Full Name | AMANDA HENDRICKS |
| Other Name | AMANDA HAYCRAFT |
| Credential | APRN |
| Practice Address |
9510 Ormsby Station Rd Ste 100 Louisville KY 40223-4082 |
| Practice Telephone | (502) 327-9100 |
| Practice Fax Number | 8556328329 |
| Mailing Telephone | 5023279100 |
| Mailing Fax Number | 8556328329 |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3006944 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12250853 | 01 | |
| KY | 7100170880 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366921553 | Amanda Rae Hendricks | Massage Therapist | 601 E. Court St, Condon, OR 97823 | 2018-08-09 |
| 1982214912 | Amanda Ann Hendricks | Counselor | 20 S Santa Cruz Ave Ste 300, Los Gatos, CA 95030-6827 | 2020-08-04 |
| 1235684572 | Amanda Hendricks | Speech-Language Pathologist | 35535 6th Ave Sw, Federal Way, WA 98023-8110 | 2016-08-16 |
| 1851775126 | Amanda Hendricks | Pharmacist | 1606 Highland Colony Pkwy, Madison, MS 39110-6917 | 2015-07-16 |
| 1942481841 | Amanda Joanne Hendricks | Psychiatric Hospital | 815 S Pearl St, Tacoma, WA 98465-2117 | 2007-11-19 |
| 1922044767 | Amanda Harrison Hendricks | Pediatrics | 310 Eisenhower Dr, Bldg 16, Savannah, GA 31406-2632 | 2006-06-21 |
| Street Address |
9510 ORMSBY STATION RD STE 100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-4082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255363941 | Amy D Spader | Nurse Practitioner | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 | 2006-07-06 |
| 1184230161 | Christina Adele Thompson | Nurse Practitioner | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 | 2020-09-16 |
| 1215558481 | Kimberly D Shelton | Nurse Practitioner | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 | 2020-04-29 |
| 1790318848 | Lakesha Nicole Brisbane | Nurse Practitioner | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 | 2020-02-18 |
| 1548802762 | Kelsey Ann Grothouse | Registered Nurse | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 | 2019-10-09 |
| 1114576196 | Katlin Clair Davis | Nurse Practitioner | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 | 2019-09-11 |
| 1316593312 | Anjelica Little | Nurse Practitioner | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 | 2019-08-15 |
| 1922653989 | Emily Nicole Kern | Nurse Practitioner | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 | 2019-08-07 |
| 1699233684 | Tammy Renee Gilbert | Nurse Practitioner | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 | 2019-03-08 |
| 1770049751 | Kelly Frances Canterberry | Nurse Practitioner | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 | 2019-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40223 |
Please comment or provide details below to improve the information on AMANDA 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.