Active NPI
Jenna Breanne Hedrick, FNP-C
- Family Nurse Practitioner
- Asheboro, NC
National Provider Identifier
1265773709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5006108
- Practice address
- 300 Mack Rd
Asheboro, NC 27205-1066 - Phone
- (336) 625-1172
- Fax
- (336) 625-6434
- NPI assigned
- Mar 8, 2013
- Last updated
- Dec 11, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5006108 | NC | Primary |
Addresses
Primary practice location
300 Mack Rd
Asheboro, NC 27205-1066
Mailing address
PO Box 2005
Asheboro, NC 27204-2005
Other practice location 1
600 W Salisbury St
Suite B
Asheboro, NC 27203-5590
Phone (336) 625-1172
Other practice location 2
6215 US Highway 64 E
Ramseur, NC 27316-8860
Phone (336) 824-2551
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407071558 | Medicaid | NC | |
| 66983 | Other | NC | BCBS |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5006108 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1265773709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2005",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272042005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MACK RD",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272051066",
"telephone_number": "336-625-1172",
"fax_number": "336-625-6434"
}
],
"practiceLocations": [
{
"address_1": "600 W Salisbury St",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Asheboro",
"state": "NC",
"postal_code": "272035590",
"country_code": "US",
"telephone_number": "336-625-1172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6215 US Highway 64 E",
"address_purpose": "LOCATION",
"city": "Ramseur",
"state": "NC",
"postal_code": "273168860",
"country_code": "US",
"telephone_number": "336-824-2551",
"fax_number": "336-824-2553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEDRICK",
"first_name": "JENNA",
"middle_name": "BREANNE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-08",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5006108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407071558",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "66983",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.