Individual provider Active NPI

Denise Niehues, PA

  • Physician Assistant
  • Hickory, NC
National Provider Identifier
1508152687
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001000141 Issued in NC
Practice address
1455 25TH Avenue Dr NE
Hickory, NC 28601-9677
Phone
(828) 322-4453
Fax
(828) 324-9295
NPI assigned
Jun 27, 2011
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001000141 NC Primary

Addresses

Primary practice location

1455 25TH Avenue Dr NE
Hickory, NC 28601-9677

Mailing address

1455 25TH Avenue Dr NE
Hickory, NC 28601-9677
Phone (828) 322-4453

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001000141NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Childhealth Center, PA PastSince Oct 2, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: deniseniehues@tchcpa.allscriptsdirect.net

Organizations & group practices 1

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508152687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 25TH AVENUE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286019677",
            "telephone_number": "828-322-4453",
            "fax_number": "828-324-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 25TH AVENUE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286019677",
            "telephone_number": "828-322-4453",
            "fax_number": "828-324-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEHUES",
        "first_name": "DENISE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001000141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.