Active NPI
Arlene Hendricks, LPN
- Licensed Practical Nurse
- Catskill, NY
National Provider Identifier
1508093956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 148294-1
- Practice address
- 411 Main St Ste 300
Catskill, NY 12414-1366 - Phone
- (518) 719-3600
- Fax
- (518) 719-3783
- NPI assigned
- Jun 12, 2009
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 148294-1 | NY | Primary |
Addresses
Primary practice location
411 Main St Ste 300
Catskill, NY 12414-1366
Mailing address
411 Main St Ste 300
Catskill, NY 12414-1366
Phone (518) 719-3600
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004394 | Other | EMPIRE BC | |
| 10002875 | Other | NY | CDPHP |
| 000400508001 | Other | NY | BLUE SHIELD NE NY |
| 00473230 | Medicaid | NY | |
| 337050 | Other | NY | MEDICARE A |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148294-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1508093956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 MAIN ST STE 300",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141366",
"telephone_number": "518-719-3600",
"fax_number": "518-719-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 MAIN ST STE 300",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141366",
"telephone_number": "518-719-3600",
"fax_number": "518-719-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "ARLENE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "148294-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "004394",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10002875",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NE NY",
"identifier": "000400508001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00473230",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE A",
"identifier": "337050",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Catskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.