Hollie M Hendrickson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

807942 Issued in NY

Practice address

91 High Hill Dr
Sound Beach, NY 11789-2227

Phone

(845) 544-6753

NPI assigned

Mar 19, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1144089277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 HIGH HILL DR",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117892227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 HIGH HILL DR",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117892227",
            "telephone_number": "845-544-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "HOLLIE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "807942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Green, OT R/L
• Margaret Dolores Griskauskas, R.N.
• Kimberly Ann Harris, D.P.T
• Nicole Heaton
• Anni Kristine Hegeland
• Danielle Hyne, MS
• Holly Jacobsen, RN
• John Lebrun LCSW PLLC
• Mark Alan Jones, D.C.
• Amanda Kane

• Registered Nurse in Sound Beach, NY
• Providers in Sound Beach, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.