Active NPI
Elnora Jones Hendricks
- Registered Nurse
- Prospect, VA
National Provider Identifier
1265727325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 0001049702
- Practice address
- 200 Tuggle Rd
Prospect, VA 23960-7917 - Phone
- (434) 392-9366
- NPI assigned
- Jun 16, 2011
- Last updated
- Jun 16, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001049702 | VA | Primary |
Addresses
Primary practice location
200 Tuggle Rd
Prospect, VA 23960-7917
Mailing address
200 Tuggle Rd
Prospect, VA 23960-7917
Phone (434) 392-9366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001049702 | Other | VA | STATE LICENCSE # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001049702 | VA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1265727325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TUGGLE RD",
"city": "PROSPECT",
"state": "VA",
"postal_code": "239607917",
"telephone_number": "434-392-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TUGGLE RD",
"city": "PROSPECT",
"state": "VA",
"postal_code": "239607917",
"telephone_number": "434-392-9366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "ELNORA",
"middle_name": "JONES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001049702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCSE #",
"identifier": "0001049702",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prospect, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.