Individual provider Active NPI

Cassaidy Hendrickson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1679962872
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3009154 Issued in KY
Practice address
1401 Harrodsburg Rd Ste A530
Lexington, KY 40504-1717
Phone
(502) 406-8133
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3009154 KY Primary
Nurse Practitioner 363L00000X 3009154 KY

Addresses

Primary practice location

1401 Harrodsburg Rd Ste A530
Lexington, KY 40504-1717

Mailing address

209 10TH Ave S Ste 350
Nashville, TN 37203-4166

Other practice location 1

501 SW 7th St Ste A
Des Moines, IA 50309-4538
Phone (515) 304-5505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20150206000776 KY Practitioner - Nurse Practitioner 8123343563 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
3009154KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC CurrentSince Sep 1, 2024 Accepting new patients
Pierce Healthcare Solutions LLC Nurse Practitioner CurrentSince Apr 17, 2024 Accepting new patients
Axial Clinic in PC CurrentSince Apr 8, 2026 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Sep 1, 2015 Accepting new patients
Brock Medical, LLC Nurse Practitioner CurrentSince Sep 1, 2015 Accepting new patients
Jaynes Family Practice CurrentSince Jul 1, 2022 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Axial Clinic in PC Psychiatric/Mental Health CurrentSince Mar 16, 2026 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations

104 John St
Ste B6
Berea, KY 40403
Phone (859) 353-4180

1013 Master St
Corbin, KY 40701
Phone (606) 280-4000

1873 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 404-6450

1200 Master St
Corbin, KY 40701
Phone (606) 280-4000

15100 N US Highway 25 E
Ste 1
Corbin, KY 40701
Phone (606) 261-2054

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

38 Broadway St
Dry Ridge, KY 41035
Phone (859) 300-0694

301 Versailles Rd
Frankfort, KY 40601
Phone (502) 352-2310

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

805 S Lincoln Blvd
Hodgenville, KY 42748

1230 Market St
Ste B
La Grange, KY 40031
Phone (502) 225-6920

1401 Harrodsburg Rd
Ste A530
Lexington, KY 40504
Phone (502) 406-8133

105 S Broad St
Ste 101
London, KY 40741
Phone (502) 406-8133

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

901 DuPont Rd
Ste 100
Louisville, KY 40207
Phone (502) 559-1855

1169 Eastern Pkwy
Ste 2313
Louisville, KY 40217
Phone (502) 309-9800

316 Highland Park Dr
Richmond, KY 40475
Phone (859) 623-4567

304 Hwy 44 E
Shepherdsville, KY 40165

209 10th Ave S
Ste 350
Nashville, TN 37203
Phone (615) 345-3555

Interoperability endpoints

  • Direct secure messaging: cassaidy.hendrickson.1@24435.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1679962872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 10TH AVE S STE 350",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE A530",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041717",
            "telephone_number": "502-406-8133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 SW 7th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503094538",
            "country_code": "US",
            "telephone_number": "515-304-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "CASSAIDY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3009154",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.