Active NPI
Yolanda Hendon
- Nurse Practitioner
- Red Oak, TX
National Provider Identifier
1063612331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 228832
- Practice address
- 106 Plaza Dr
Red Oak, TX 75154-3981 - Phone
- (972) 515-8700
- Fax
- (469) 218-0682
- NPI assigned
- Jul 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | 228832 | TX | |
| Nurse Practitioner | 363L00000X | 228832 | TX | Primary |
Addresses
Primary practice location
106 Plaza Dr
Red Oak, TX 75154-3981
Mailing address
106 Plaza Dr
Red Oak, TX 75154-3981
Phone (972) 515-8700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170991703 | Medicaid | TX | |
| 170991702 | Medicaid | TX | |
| D07564 | Other | TX | MEDICARE TX RR PALMETTO |
| DQ5280 | Other | TX | MEDICARE RR PALMETTO |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228832 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians and Allied Health Professionals Group, PA | Nurse Practitioner | Past | Accepting new patients |
| Skilled Primary Care PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Nurse Practitioner
-
- Physical Medicine & Rehabilitation Physician
- Frisco, TX
- NPI 1528384070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1063612331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 PLAZA DR",
"city": "RED OAK",
"state": "TX",
"postal_code": "751543981",
"telephone_number": "972-515-8700",
"fax_number": "469-218-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PLAZA DR",
"city": "RED OAK",
"state": "TX",
"postal_code": "751543981",
"telephone_number": "972-515-8700",
"fax_number": "469-218-0682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDON",
"first_name": "YOLANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "TX",
"license": "228832",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "228832",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170991703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170991702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TX RR PALMETTO",
"identifier": "D07564",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR PALMETTO",
"identifier": "DQ5280",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.