Lynnette Renae Hendrickson, D.C., FICPA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

104365 Issued in KS

Practice address

508 N Main St
Newton, KS 67114-2229

Phone

(316) 283-6363

Fax

(316) 283-1812

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 2007By 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

Other names 1

• Dr. Lynnette Renae Smith Former name

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hendrickson Chiropractic and Health Center P aGroup PAC ID 1759327372, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Hendrickson Chiropractic & Health Center P a

  • Chiropractor
  • Newton, KS
  • NPI 1033253893
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083707871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 N MAIN ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142229",
            "telephone_number": "316-283-6363",
            "fax_number": "316-283-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 N MAIN ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142229",
            "telephone_number": "316-283-6363",
            "fax_number": "316-283-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "LYNNETTE",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "D.C., FICPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "104365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNETTE",
            "last_name": "SMITH",
            "middle_name": "RENAE",
            "prefix": "DR.",
            "credential": "D.C., FICPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evonne Denise Hedrich, P.T.
• Julia Hemman, MD
• Katherine E Henderson, LPC, NCC
• Julie Hendricks, TLAC
• Hendrickson Chiropractic & Health Center P a
• Todd Eugene Hendrickson, D.C.
• Henry P Beugelsdijk MD PA
• Margaret Hernandez, APRN
• Brenda Herrington, CPTA
• Cayla Hiebert, APRN

• Chiropractor in Newton, KS
• Providers in Newton, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.