Tina Denise Hendricks, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

235799 Issued in NC

Practice address

157 Paragon Pkwy
Suite 800
Clyde, NC 28721-9481

Phone

(828) 452-6675

Fax

(828) 452-6730

NPI assigned

Dec 8, 2009

Last updated

Oct 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tina Denise Goodwin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• County of Haywood

  • Community Health Clinic/Center
  • Waynesville, NC
  • NPI 1184779829
  NPD (past)
• County of Haywood

  • State or Local Public Health Clinic/Center
  • Clyde, NC
  • NPI 1598810285
  NPD (past)

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1518296375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 PARAGON PKWY",
            "address_2": "SUITE 800",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219481",
            "telephone_number": "828-452-6675",
            "fax_number": "828-452-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PARAGON PKWY",
            "address_2": "SUITE 800",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219481",
            "telephone_number": "828-452-6675",
            "fax_number": "828-452-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "TINA",
        "middle_name": "DENISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "235799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "GOODWIN",
            "middle_name": "DENISE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haywood Regional Medical Center Rcu
• Haywood Regional Medical Center Urgent Care Centers
• Haywood Women's Medical Center, PA
• Hearwell Health Care, PC (Mountain Audiology)
• Sarah Henderson, MSN, RN
• John Marshall Highsmith, DDS DICOI AAACD
• Lauren Elisabeth Holliday, DPT
• Meghan Rae Hollifield, LCSWA, LCASA
• Rebecca Ann Holmes, MS,RD,LDN
• Hospitality Retreat

• Registered Nurse in Clyde, NC
• Providers in Clyde, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.