Active NPI
Laquetta Yvette Hendree, CNA, MA
- Home Health Aide
- Memphis, TN
National Provider Identifier
1427538008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 2260 Mangum Rd
Memphis, TN 38134-5811 - Phone
- (901) 281-3444
- NPI assigned
- Aug 14, 2018
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Companion | 372600000X | |||
| Religious Nonmedical Nursing Personnel | 374T00000X | |||
| Nurse's Aide | 376K00000X | 00168002 | TN | |
| Nurse's Aide | 376K00000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
2260 Mangum Rd
Memphis, TN 38134-5811
Mailing address
2260 Mangum Rd
Memphis, TN 38134-5811
Phone (901) 281-3444
Other practice location 1
5234 Chatfield Dr
Memphis, TN 38116-9418
Phone (901) 281-3444
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00168002 | TN | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1427538008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2260 MANGUM RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381345811",
"telephone_number": "901-281-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2260 MANGUM RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381345811",
"telephone_number": "901-281-3444"
}
],
"practiceLocations": [
{
"address_1": "5234 Chatfield Dr",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381169418",
"country_code": "US",
"telephone_number": "901-281-3444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDREE",
"first_name": "LAQUETTA",
"middle_name": "YVETTE",
"name_prefix": "Ms.",
"credential": "CNA, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374T00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Nursing Personnel",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "TN",
"license": "00168002",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.