Patricia Jane Hennessy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7962 Issued in ID

Practice address

1205 Highway 2
Suite 301
Sandpoint, ID 83864-0913

Phone

(208) 265-9909

Fax

(208) 265-5351

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• P J Hennessy Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205057015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640913",
            "telephone_number": "208-265-9909",
            "fax_number": "208-265-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HIGHWAY 2",
            "address_2": "SUITE 301",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640913",
            "telephone_number": "208-265-9909",
            "fax_number": "208-265-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "PATRICIA",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "4085",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "7962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P",
            "last_name": "HENNESSY",
            "middle_name": "J",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Healthy Perspectives Inc
• Yvonne Heitz, LMT
• Robin E Helm, MD
• Don C. H. Henker, O.D.
• Whitney Camille Henker, O.D.
• Amber Renee Henrickson, LCSW
• Mark Edward Hernandez, M.D.
• Grace Hickox-Carriere, LPC
• Jenny Fern Hicks, DOCTORATE OF PT
• Jill Kathryn Hicks, LCPC

• Family Medicine Physician in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Family Medicine Physician in Idaho

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.