Henriette Mason Dedmondt, RN.,MSN.,FNP
Individual provider Active NPI Nurse Practitioner · Hendersonville, NC
NPI 1639239288 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1639239288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 5013979 (NC)
- Practice address
- 317 N King St Ste a
Hendersonville, NC 28792-4349 - Phone
- (828) 693-3344
- Fax
- (855) 308-2340
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lamond Family Medicine PLLC
Practice addresses (Care Compare)
317 N King St
Suite B
Hendersonville, NC 28792-4349
Phone (828) 693-9199
Hospital & facility affiliations
- Pardee Hospital Henderson County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110824000822 | SC | Practitioner - Nurse Practitioner | 1557457868 | Reassigns benefits to 1 organization |
| I20210203002047 | NC | Practitioner - Nurse Practitioner | 1557457868 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3157 | SC | MD | Physical Therapy Assistant |
| 5013979 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current |
Accepting new patients | |
| SC House Calls Inc | Current |
Accepting new patients | |
| Lamond Family Medicine, PLLC | Current |
Accepting new patients | |
| Proactive MD SC,P.a. | Past |
Accepting new patients | |
| Doctors Care SC, PA | Past | Accepting new patients | |
| Blue Sky, MD PC | Past |
Accepting new patients | |
| Spartanburg Emergency Physicians, LLC | Past | Accepting new patients |
Locations
317 N King St
Ste B
Hendersonville, NC 28792
Phone (828) 693-9199
317 N King St
#A
Hendersonvlle, NC 28792
Phone (828) 693-3344
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3157 | SC | |
| Nurse Practitioner | 363L00000X | 5013979 | NC | Yes |
Addresses
Primary practice location
317 N King St Ste a
Hendersonville, NC 28792-4349
Mailing address
PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065
Other practice location 1
245 Parkway E
Palmetto Proactive
Duncan, SC 29334-9489
Phone (864) 661-1539
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3357143 | Other | NC | UHC |
| 1639239288 | Medicaid | NC | |
| 20EMM | Other | NC | BCBS NC |
| Q00028729 | Other | NC | RAILROAD MEDICARE |
| 9284962 | Other | NC | CIGNA |
| NNF092A | Other | NC | MEDICARE |
Other providers in Hendersonville, NC
- Terance Miles Dawkins
- DC Wellness
- Crystal De la Cruz Dothe
- Judy S Dearing
- Deborah Biggert Audiology
- J. David Deholl Jr.
- Pamela Della Valle
- Kendra Ann Demarco
- Pierre Dematos
- Sharon Kay Democker
All providers in Hendersonville, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.