Active NPI
Angela C Hendrick, MD
- Family Medicine Physician
- Wenatchee, WA
National Provider Identifier
1598928954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60091306
- Practice address
- 600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800 - Phone
- (509) 662-6000
- Fax
- (509) 664-4588
- NPI assigned
- Jul 7, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60091306 | WA | Primary |
| Family Medicine Physician | 207Q00000X | MD170751 | OR |
Addresses
Primary practice location
600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800
Mailing address
600 Orondo Ave
Ste 1
Wenatchee, WA 98801-2800
Phone (509) 662-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2007551 | Medicaid | WA | |
| 500682834 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 29, 2023 through Nov 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD170751 | OR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1598928954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 ORONDO AVE",
"address_2": "STE 1",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012800",
"telephone_number": "509-662-6000",
"fax_number": "509-664-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ORONDO AVE",
"address_2": "STE 1",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012800",
"telephone_number": "509-662-6000",
"fax_number": "509-664-4588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICK",
"first_name": "ANGELA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60091306",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD170751",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2007551",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500682834",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.