Individual provider Active NPI

Henriette Mason Dedmondt, RN.,MSN.,FNP

  • Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1639239288
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013979 Issued in 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
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3157 SC
Nurse Practitioner 363L00000X 5013979 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110824000822 SC Practitioner - Nurse Practitioner 1557457868 Reassigns benefits to 1 organization
I20210203002047 NC Practitioner - Nurse Practitioner 1557457868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 6103802012, 49 clinicians

Practice addresses (Care Compare)

317 N King St
Suite B
Hendersonville, NC 28792-4349
Phone (828) 693-9199

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
3157SCMDMental Health Counselor
5013979NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Oct 17, 2014 Accepting new patients
SC House Calls Inc CurrentSince Oct 17, 2014 Accepting new patients
Lamond Family Medicine, PLLC CurrentSince Feb 1, 2021 Accepting new patients
Blue Sky, MD PC PastSince Jul 20, 2021 Accepting new patients
Doctors Care SC, PA Past Accepting new patients
Proactive MD SC,P.a. PastSince May 25, 2021 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

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1639239288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790360",
            "telephone_number": "888-339-6065",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N KING ST STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924349",
            "telephone_number": "828-693-3344",
            "fax_number": "855-308-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Parkway E",
            "address_2": "Palmetto Proactive",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "SC",
            "postal_code": "293349489",
            "country_code": "US",
            "telephone_number": "864-661-1539",
            "fax_number": "864-342-6962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEDMONDT",
        "first_name": "HENRIETTE",
        "middle_name": "MASON",
        "credential": "RN.,MSN.,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3157",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.