Active NPI
Scott Keen Hendriks, RN
- General Acute Care Hospital
- Denver, CO
National Provider Identifier
1194151878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 162666
- Practice address
- 2108 Meade St
Denver, CO 80211-5058 - Phone
- (720) 215-0750
- NPI assigned
- Sep 25, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 162666 | CO | Primary |
Addresses
Primary practice location
2108 Meade St
Denver, CO 80211-5058
Mailing address
2108 Meade St
Denver, CO 80211-5058
Phone (720) 215-0750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162666 | Other | CO | RN |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162666 | CO | MD | General Acute Care Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1194151878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 MEADE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802115058",
"telephone_number": "720-215-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 MEADE ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802115058",
"telephone_number": "720-215-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIKS",
"first_name": "SCOTT",
"middle_name": "KEEN",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-25",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CO",
"license": "162666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "162666",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.