Individual provider Active NPI

Natalie Hendrickson, A-GNP

  • Nurse Practitioner
  • Moncks Corner, SC
National Provider Identifier
1427661834
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
24401 Issued in SC
Practice address
425 Barony St
Moncks Corner, SC 29461-3128
Phone
(843) 899-7399
NPI assigned
Aug 25, 2020
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24401 SC Primary
Adult Health Nurse Practitioner 363LA2200X 24401 SC
Registered Nurse 163W00000X 245450 SC

Addresses

Primary practice location

425 Barony St
Moncks Corner, SC 29461-3128

Mailing address

285 Pemberly Blvd
Summerville, SC 29486-7780
Phone (251) 895-7380

Other practice location 1

285 Pemberly Blvd
Summerville, SC 29486-7780
Phone (251) 895-7380

Other names 1

  • Natalie Portie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20210203000672 SC Practitioner - Nurse Practitioner 3173937505 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
245450SCMDRegistered Nurse
24401SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yaden Chiropractic Inc. Multi-Specialty CurrentSince Mar 4, 2022 Accepting new patients
Yaden Physical and Integrated Medical-LLC Multi-Specialty CurrentSince Mar 4, 2022 Accepting new patients
Signify Health Medical Associates, PLLC Multi-Specialty CurrentSince Dec 1, 2021 Accepting new patients
Healthy4Life Integrated Medicine, Inc Multi-Specialty CurrentSince Jan 28, 2021 Accepting new patients
Kathleen Grabowski Multi-Specialty PastSince Jan 28, 2021 Accepting new patients

Locations

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (505) 340-5555

118 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 376-3112

118 Springhall Dr
Ste B
Goose Creek, SC 29445
Phone (843) 553-0997

425 Barony St
Moncks Corner, SC 29461
Phone (843) 899-7399

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1427661834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 PEMBERLY BLVD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867780",
            "telephone_number": "251-895-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BARONY ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613128",
            "telephone_number": "843-899-7399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "285 Pemberly Blvd",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294867780",
            "country_code": "US",
            "telephone_number": "251-895-7380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "NATALIE",
        "credential": "A-GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "24401",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "24401",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "245450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "PORTIE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moncks Corner, SC

Sources for this page

Verify at the official NPI Registry.