Individual provider Active NPI

Christy A Hendrie, APRN, MSN, NP-C

  • Family Nurse Practitioner
  • Trumbull, CT
National Provider Identifier
1003199563
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
004743 Issued in CT
Practice address
60 Clover Hill Rd
Trumbull, CT 06611-2556
Phone
(203) 895-5013
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 004743 CT Primary

Addresses

Primary practice location

60 Clover Hill Rd
Trumbull, CT 06611-2556

Mailing address

30 Elizabeth St
Derby, CT 06418-1802
Phone (203) 954-0543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
004743CTMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1003199563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ELIZABETH ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181802",
            "telephone_number": "203-954-0543",
            "fax_number": "203-954-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CLOVER HILL RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066112556",
            "telephone_number": "203-895-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIE",
        "first_name": "CHRISTY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN, MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.