Gretchen Sue Hennigan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

59712 Issued in WV

Practice address

231 Maple Ave
Bridgeport, WV 26330-1440

Phone

(304) 672-3431

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1265058697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 MAPLE AVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301440",
            "telephone_number": "304-672-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 MAPLE AVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301440",
            "telephone_number": "304-672-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "GRETCHEN",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "59712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Heightland
• Alyssa Justine Helterbran, MS, CCC-SLP
• Wanda M Hembree, M.D.
• Luann Bookheimer Hendershot, AUD
• Brittany Henderson, LGSW
• John Ryan Henson
• David Elwood Hess, M.D.
• Elizabeth H Hess, MD
• Kendall Hess
• Jacinda Hickman, M.S.CCC-SLP

• Family Nurse Practitioner in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.