Abby Hergenrather

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4178 Middlebrook Dr
Beavercreek, OH 45440-3312

Phone

(937) 701-3032

NPI assigned

Oct 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1013468560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4178 MIDDLEBROOK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403312",
            "telephone_number": "937-701-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4178 MIDDLEBROOK DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454403312",
            "telephone_number": "937-701-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERGENRATHER",
        "first_name": "ABBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanne Henderson, PA-C
• Talieh Hendi, M.D.
• Emily Elizabeth Hendrickson, CPNP
• Katherine Hendrickson, D.O.
• Laura Jean Herbert, FNP-BC
• Joanna Herrberg, SLP
• Nicholas Herrin, PT, DPT
• Lexey Hetzel
• Catherine Hibbert
• Nicole Lynn Hicks

• Student in an Organized Health Care Education/Training Program in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.