Active NPI
Julie Hendershott
- Family Nurse Practitioner
- Glendale, AZ
National Provider Identifier
1073905980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN153739
- Practice address
- 4614 W Palo Verde Dr
Glendale, AZ 85301-6249 - Phone
- (480) 524-3422
- NPI assigned
- Mar 2, 2015
- Last updated
- May 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN153739 | AZ | Primary |
Addresses
Primary practice location
4614 W Palo Verde Dr
Glendale, AZ 85301-6249
Mailing address
24232 N 80TH LN
Peoria, AZ 85383-1020
Phone (480) 524-3422
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 |
|---|---|---|---|
| RN153739 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Living Centers of North America Palo Verde | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Registered Nurse
- Glendale, AZ
- NPI 1437512084
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Glendale, AZ
- NPI 1639565922
-
dba Dignity Living Clinics
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1891143574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1073905980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24232 N 80TH LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853831020",
"telephone_number": "480-524-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4614 W PALO VERDE DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853016249",
"telephone_number": "480-524-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSHOTT",
"first_name": "JULIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN153739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.