Jonathan Hendrickson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.170757.MEDS Issued in OH

Practice address

812 3Rd St
Marietta, OH 45750-1803

Phone

(740) 371-5476

NPI assigned

Oct 17, 2019

Sex

Male

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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1205479664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 3RD ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 3RD ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501803",
            "telephone_number": "740-371-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.170757.MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda S Heil, LPN
• Adriana Heisler, PTA
• Brenda Hendershot
• Christina Suzanne Hendershot, PTA
• Kimberly S Hendricks, DO
• Tina Rachelle Henniger, APRN
• John S Henry, MD
• Spring Idale Henry, CDCA
• James Hensel
• Raymond Bruce Henthorn, MD

• Licensed Practical Nurse in Marietta, OH
• Providers in Marietta, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.