MRS. BERTHA LEE HENDRIX (NPI# 1699879239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699879239 |
Entity Type | Individual |
Full Name | MRS. BERTHA LEE HENDRIX |
Credential | OGNP |
Practice Address |
227 Fountainhead Ln Fayetteville NC 28301-5417 |
Mailing Address |
1112 Pleasant Oak Dr Fayetteville NC 28314-5930 |
Practice Telephone | 9104333647 |
Practice Fax Number | 9104333701 |
Mailing Telephone | 9108686171 |
Mailing Fax Number | 9104333701 |
Enumeration Date | 2006-09-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
80575 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
227 FOUNTAINHEAD LN |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28301-5417 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134480718 | County of Cumberland Office of Treasurer | Pharmacy | 227 Fountainhead Ln, Fayetteville, NC 28301-5488 | 2012-05-31 |
1073804613 | Tamara Keibler | Pharmacist | 227 Fountainhead Ln, Suite 104, Fayetteville, NC 28301-5417 | 2011-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
Find all providers in zip 28301 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619189784 | Pamela T. Puett | Nurse Practitioner | 1279 Highway 54 W Ste 220, Fayetteville, GA 30214-4552 | 2007-05-03 |
1477191211 | Cara Marie Haire | Nurse Practitioner | 413 Owen Dr, Fayetteville, NC 28304-3489 | 2019-12-11 |
1265689954 | Portia Mason Cole | Nurse Practitioner | 1235 Ramsey St, Fayetteville, NC 28301-4401 | 2008-08-25 |
1871788075 | Angela Mclaurin | Nurse Practitioner | 1261 Oliver St, Fayetteville, NC 28304-4450 | 2007-09-11 |
1639219546 | Susan Rena Glass | Nurse Practitioner | 2029 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3688 | 2007-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386856649 | Victoria L Kell | Nurse Practitioner | 247 Memorial Dr, Jacksonville, NC 28546-6333 | 2007-05-07 |
1376610022 | Deborah Shamberger Barrett | Nurse Practitioner | 705 Pinehurst Ave, Moore County Health Department, Carthage, NC 28327-0279 | 2006-11-29 |
1922106426 | Wanda A Fuschino | Nurse Practitioner | 349 Penny Ln Ne, Concord, NC 28025-1221 | 2006-09-20 |
1679508253 | Angela M Walling | Nurse Practitioner | 3 Regional Cir Ste B, Pinehurst, NC 28374-9796 | 2006-07-11 |
1467415752 | Paula Thum | Nurse Practitioner | 1998 Hendersonville Rd, Suite 31, Asheville, NC 28803-2349 | 2006-04-08 |
1932169612 | Mary Coffey Blalock | Nurse Practitioner | 177 New Vale Rd, Office of E.h. Perez, Md, Newland, NC 28657-9198 | 2006-03-25 |
1336144518 | Victoria Edwards Smith | Nurse Practitioner | 25 Courthouse Dr. Ne, Box 9, Bolivia, NC 28422-7582 | 2005-06-15 |
1790788024 | Donna White Bass | Nurse Practitioner | 4005 Oleander Dr, Wilmington, NC 28403-6816 | 2005-05-31 |
1003431404 | Rhonda Mann Lovvorn | Nurse Practitioner | 700 Tilghman Dr, Dunn, NC 28334-0007 | 2020-06-11 |
1568926509 | Alison O'quinn | Nurse Practitioner | 1110 Se Cary Pkwy Ste 100, Cary, NC 27518-7420 | 2019-01-23 |
Find all providers with the same taxonomy |
City | FAYETTEVILLE |
Zip Code | 28301 |
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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.