Julie Ann Woodside Hendrickson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

538612 Issued in CA

Practice address

2049 Skyline Dr
Lemon Grove, CA 91945-4221

Phone

(619) 465-7303

Fax

(619) 466-4672

NPI assigned

Apr 16, 2018

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1164919148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5494 DEHESA RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920191825",
            "telephone_number": "360-620-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 SKYLINE DR",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919454221",
            "telephone_number": "619-465-7303",
            "fax_number": "619-466-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "JULIE",
        "middle_name": "ANN WOODSIDE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "538612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zunisa Harris, NP
• Serena Christina Harrison
• Nilda Hashmi
• Karina J Helgeson
• Shamariah La Mae Hendley, MHRS
• Heidi Henson
• Selyna Herrera
• Ruth Ellen Hickman, FNP-BC
• Patti Hill
• Marcia Lynn Hille

• Registered Nurse in Lemon Grove, CA
• Providers in Lemon Grove, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.