Active NPI
Natalie Hendrickson, A-GNP
- Nurse Practitioner
- Moncks Corner, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 24401
- Practice address
- 425 Barony St
Moncks Corner, SC 29461-3128 - Phone
- (843) 899-7399
- NPI assigned
- Aug 25, 2020
- Last updated
- Mar 27, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 245450 | SC | MD | Registered Nurse |
| 24401 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yaden Chiropractic Inc. | Multi-Specialty | Current | Accepting new patients |
| Yaden Physical and Integrated Medical-LLC | Multi-Specialty | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
| Healthy4Life Integrated Medicine, Inc | Multi-Specialty | Current | Accepting new patients |
| Kathleen Grabowski | Multi-Specialty | Past | 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.
-
- Family Medicine Physician
- Moncks Corner, SC
- NPI 1255958658
Multi-Specialty
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
Multi-Specialty, SC
-
dba Crowfield Family Practice, LLC
- General Practice Physician
- Goose Creek, SC
- NPI 1740460526
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.