Active NPI
Linda Hendrycks, P.A.
- Physician Assistant
- Reno, NV
National Provider Identifier
1205976222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- P.A.540
- Practice address
- 4791 Summit Ridge Drive
Reno, NV 89523 - Phone
- (775) 624-2200
- Fax
- (775) 624-2211
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | P.A.540 | NV | Primary |
Addresses
Primary practice location
4791 Summit Ridge Drive
Reno, NV 89523
Mailing address
200 Hoge Rd
Reno, NV 89506-9063
Phone (775) 929-7654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2416880 | Medicaid | NV |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 540 | NV | MD | Emergency Medicine Physician |
| P.A.540 | NV | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205976222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOGE RD",
"city": "RENO",
"state": "NV",
"postal_code": "895069063",
"telephone_number": "775-929-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4791 SUMMIT RIDGE DRIVE",
"city": "RENO",
"state": "NV",
"postal_code": "89523",
"telephone_number": "775-624-2200",
"fax_number": "775-624-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRYCKS",
"first_name": "LINDA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "P.A.540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2416880",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- 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.