Maddie Henrish, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F02200071 Issued in NC

Practice address

1212 Carriage House Dr
Colfax, NC 27235-9420

Phone

(724) 678-1090

NPI assigned

Feb 21, 2020

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

Credentials

Certified Nurse Midwife, Nurse Practitioner

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 and National Provider Directory roles.

• Triad Pediatrics, PC

  • Pediatrics Physician
  • High Point, NC
  • NPI 1407355704
  NPD (past)

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1629601364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CARRIAGE HOUSE DR",
            "city": "COLFAX",
            "state": "NC",
            "postal_code": "272359420",
            "telephone_number": "724-678-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CARRIAGE HOUSE DR",
            "city": "COLFAX",
            "state": "NC",
            "postal_code": "272359420",
            "telephone_number": "724-678-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRISH",
        "first_name": "MADDIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F02200071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Overbee Fritts, MS,RD,LDN,CDCES
• Whitney Roberts Gansman, PT, DPT
• Alison Beth Gueriera, MS, CCC-SLP
• Tasha Delores Hall, LCSW
• Cheryl K Hardison, DDS
• Hyung Won Lee, DDS, P.a.
• Kayla Kinard, DMD
• Ashley Samantha Kizzie, M.S., OTR/L
• Ward S. Lambeth, DDS
• Allison Elliott Loretti

• All providers in Colfax, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.