Joanne Marie Hendricks

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11007721 Issued in FL

Practice address

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402

Phone

(850) 325-5000

NPI assigned

Mar 16, 2020

Last updated

Jun 23, 2020By the provider in NPPES

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

Enrolled in FL

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Vitas Solutions IncGroup PAC ID 7012087166, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Vitas Solutions Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Miramar, FL
  • NPI 1861666497

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650

  Nurse Practitioner

  Medicare reassignment NPD

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

• Tallahassee Medical Center Inc

  dba HCA Florida Capital Hospital

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1790732303
  Care Compare affiliation

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1679109227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 MAN O WAR TRL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323091637",
            "telephone_number": "850-443-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084402",
            "telephone_number": "850-325-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Capital Cir NE",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084492",
            "country_code": "US",
            "telephone_number": "850-575-4998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "JOANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11007721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn H Henderson, PA
• Jacob Patrick Henderson, MD
• Kiley Henderson, BCBA
• Nadine Henderson, APRN
• Tashanda C Henderson
• Hennessy Hearing LLC (Miracle Ear)
• Ann E Hennessy, M.A. CCC-A
• Ashley Henning, DO
• Tracy R Henningsen
• Chelsea Ciara Henry

• Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.