Active NPI
Joshua Lee Hendrickson, R. PBT, RMA
- Phlebotomy Technician
- Durant, OK
National Provider Identifier
1366719239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 10008A
- Practice address
- 3301 N 1St Ave
Apt 2H
Durant, OK 74701-2545 - Phone
- (580) 380-0463
- NPI assigned
- Nov 21, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 10008A | OK | Primary |
Addresses
Primary practice location
3301 N 1St Ave
Apt 2H
Durant, OK 74701-2545
Mailing address
3301 N 1St Ave
Apt 2H
Durant, OK 74701-2545
Phone (580) 380-0463
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
- Credentials
- Registered Medical Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10008A | OK | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1366719239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 N 1ST AVE",
"address_2": "APT 2H",
"city": "DURANT",
"state": "OK",
"postal_code": "747012545",
"telephone_number": "580-380-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 N 1ST AVE",
"address_2": "APT 2H",
"city": "DURANT",
"state": "OK",
"postal_code": "747012545",
"telephone_number": "580-380-0463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "JOSHUA",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "R. PBT, RMA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-21",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "OK",
"license": "10008A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.