Kerri Ann Hendershot

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3012 Issued in CO

Practice address

2350 17TH Ave Ste 205
Longmont, CO 80503-1738

Phone

(303) 525-5870

Fax

(720) 684-5537

NPI assigned

Jun 16, 2022

Last updated

Jun 16, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Flossophy Dental Hygiene

  • Dental Clinic/Center
  • Longmont, CO
  • NPI 1144984626
  NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1528798097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 17TH AVE STE 205",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805031738",
            "telephone_number": "303-525-5870",
            "fax_number": "720-684-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 17TH AVE STE 205",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805031738",
            "telephone_number": "303-525-5870",
            "fax_number": "720-684-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSHOT",
        "first_name": "KERRI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "3012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heights Healthcare Company LLC (The Peaks Care Center)
• Heights Healthcare Company LLC (The Peaks Care Center)
• Susan C Heikkinen
• Deanna Lynn Heimsoth, LCSW
• Erin Lynn Hellerstedt, PA
• Karen Weir Henderson, LPC
• Lara K. Henderson, LMT, CLT
• Linda Katherine Henderson, FNP
• Silas Grant Hendrich, MFT-C
• Anne Henry, R.N.

• Dental Hygienist in Longmont, CO
• Providers in Longmont, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.