Mary Catherine Hendren, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000014168 Issued in TN

Practice address

188 16TH Ave Ste 106
Dayton, TN 37321-1037

Phone

(423) 775-1160

Fax

(423) 775-1767

NPI assigned

Aug 14, 2009

Last updated

Aug 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ocoee Regional Health Corporation

  dba Grundy County Primary Care Center

  • Federally Qualified Health Center (FQHC)
  • Coalmont, TN
  • NPI 1902010770
  Medicare reassignment NPD
• Ocoee Regional Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Benton, TN
  • NPI 1386857381
  NPD
• Ocoee Regional Health Corporation

  dba Rhea County Middle School

  • Federally Qualified Health Center (FQHC)
  • Evensville, TN
  • NPI 1558931915
  NPD

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1063644656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 16TH AVE STE 106",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211037",
            "telephone_number": "423-775-1160",
            "fax_number": "423-775-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 16TH AVE STE 106",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211037",
            "telephone_number": "423-775-1160",
            "fax_number": "423-775-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDREN",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000014168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harris Hometown Dentistry PLLC
• Lauren Elaine Harris, PHARMD
• Robert W Harrison, PA-C
• Healthforce of Dayton, Inc
• Zoa Henderson, APRN, BSN, RN
• Paul Meredith Hendricks, M.D.
• Timothy J Henry, D.C.
• Rodney Lynn Herra Jr.
• Charles Lynn Hester II
• Claire Williams Higginbotham, PA

• Family Nurse Practitioner in Dayton, TN
• Providers in Dayton, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.