PATRICIA HENDRICKSON (NPI# 1912930504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912930504 |
| Entity Type | Individual |
| Full Name | PATRICIA HENDRICKSON |
| Credential | CNP |
| Practice Address |
2901 Transport St Se Albuquerque NM 87106 |
| Mailing Address |
Po Box 26028 Albuquerque NM 87125-6028 |
| Practice Telephone | 5052546500 |
| Practice Fax Number | 5052546528 |
| Mailing Telephone | 5052627215 |
| Mailing Fax Number | 5052321627 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R13802 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 91009 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5150 Journal Center Blvd Ne, Albuquerque, NM 87109 | 5057277600 | 5057277640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346405743 | Patricia Mary Hendrickson | Speech-Language Pathologist | 162 E Broadway, Monticello, NY 12701-8815 | 2008-07-24 |
| Street Address |
2901 TRANSPORT ST SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970654 | Mark K Crawford | Anesthesiology | 2901 Transport St Se, Albuquerque, NM 87106 | 2005-05-23 |
| 1710451836 | Sophia Thiyagarajan | Nurse Practitioner | 2901 Transport St Se, Albuquerque, NM 87106-4382 | 2019-01-11 |
| 1982179594 | Samuel Robison | Pharmacist | 2901 Transport St Se, Albuquerque, NM 87106-4382 | 2018-10-10 |
| 1043728249 | Dmitriy Vladimirovich Bazaron | Nurse Practitioner | 2901 Transport St Se, Albuquerque, NM 87106-4382 | 2018-01-22 |
| 1942756630 | Michael Ryan Brison | Nurse Practitioner | 2901 Transport St Se, Albuquerque, NM 87106 | 2016-08-31 |
| 1063876183 | Abq Bestcare Pharmacy 3 LLC | Pharmacy | 2901 Transport St Se, Albuquerque, NM 87106-4382 | 2016-04-06 |
| 1245617091 | Jaren Robert Trost | Internal Medicine | 2901 Transport St Se, Albuquerque, NM 87106-4382 | 2015-04-30 |
| 1972634665 | Rita Ann Leard | Obstetrics & Gynecology | 2901 Transport St Se, Albuquerque, NM 87106-4382 | 2007-03-07 |
| 1528159100 | Patricia M Engleman | Nurse Practitioner | 2901 Transport St Se, Albuquerque, NM 87106 | 2006-09-27 |
| 1538182647 | Michael F Malizzo | Anesthesiology | 2901 Transport St Se, Albuquerque, NM 87106-4382 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386938553 | Dina Jene Reid | Nurse Practitioner | 11616 Snowheights Blvd Ne, Albuquerque, NM 87112-3158 | 2011-06-06 |
| 1174645113 | Joanne Marlene Williams | Nurse Practitioner | 8712 Chambers Pl Ne, Albuquerque, NM 87111-2138 | 2007-04-03 |
| 1538175377 | Ethel Mae Jorgensen | Nurse Practitioner | 719 San Mateo Blvd Ne, Albuquerque, NM 87108-1434 | 2006-08-01 |
| 1215953302 | Amy Jo Levi | Nurse Practitioner | Msc 09 5350, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-07-14 |
| 1467441709 | Donna Ann Ketcheson | Nurse Practitioner | 801 Encino Pl Ne Ste D5, Albuquerque, NM 87102-2644 | 2005-10-19 |
| 1003441601 | Lauren Larkin | Nurse Practitioner | 5150 San Francisco Rd Ne, Albuquerque, NM 87109-4640 | 2020-03-04 |
| 1912494311 | Grace Jacobson | Nurse Practitioner | 201 Cedar St Se Ste S120, Albuquerque, NM 87106-4900 | 2018-04-20 |
| 1245611011 | Julie Ann Hall | Nurse Practitioner | University of New Mexico Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2015-06-17 |
| 1003255639 | Nicole Ann Badillo | Nurse Practitioner | 4010 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2013-06-17 |
| 1245515907 | Erin Rae Flint | Nurse Practitioner | 201 Cedar Se #405, 405, Albuquerque, NM 87106-3392 | 2011-10-13 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on PATRICIA HENDRICKSON.
| 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.