Active NPI
Donna Jean Hendrix, RNC-NICU-IBCLC
- Lactation Consultant (Registered Nurse)
- Oklahoma City, OK
National Provider Identifier
1023315249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 55608
- Practice address
- 11200 N Portland Ave
Oklahoma City, OK 73120-5045 - Phone
- (405) 936-1500
- Fax
- (405) 936-1579
- NPI assigned
- Feb 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 55608 | OK | Primary |
Addresses
Primary practice location
11200 N Portland Ave
Oklahoma City, OK 73120-5045
Mailing address
7628 Eastgate Dr
Oklahoma City, OK 73162-6247
Phone (405) 728-5046
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55608 | OK | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1023315249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7628 EASTGATE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731626247",
"telephone_number": "405-728-5046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 N PORTLAND AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731205045",
"telephone_number": "405-936-1500",
"fax_number": "405-936-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "DONNA",
"middle_name": "JEAN",
"credential": "RNC-NICU-IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "OK",
"license": "55608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.