Active NPI
Jennifer Jean Hendrickson, OD
- Optometrist
- Reno, NV
National Provider Identifier
1649966441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1156
- Practice address
- 5385 Reno Corporate Dr Ste 100
Reno, NV 89511-2395 - Phone
- (775) 852-3937
- NPI assigned
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1156 | NV | Primary |
Addresses
Primary practice location
5385 Reno Corporate Dr Ste 100
Reno, NV 89511-2395
Mailing address
700 Greensburg Cir
Reno, NV 89509-6818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1156 | NV | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1649966441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 GREENSBURG CIR",
"city": "RENO",
"state": "NV",
"postal_code": "895096818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5385 RENO CORPORATE DR STE 100",
"city": "RENO",
"state": "NV",
"postal_code": "895112395",
"telephone_number": "775-852-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "JENNIFER",
"middle_name": "JEAN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-13",
"last_updated": "2023-04-19",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "1156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.