Active NPI
Cheryl Elaine Hennen
- Home Health Registered Nurse
- Olivia, MN
National Provider Identifier
1689979619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 350308
- Practice address
- 210 S 10TH St
Olivia, MN 56277-1205 - Phone
- (320) 522-2382
- NPI assigned
- Jan 23, 2011
- Last updated
- Jan 23, 2011
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 350308 | MN | Primary |
Addresses
Primary practice location
210 S 10TH St
Olivia, MN 56277-1205
Mailing address
210 S 10TH St
Olivia, MN 56277-1205
Phone (320) 522-2382
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350308 | MN | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295740800000",
"number": "1689979619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S 10TH ST",
"city": "OLIVIA",
"state": "MN",
"postal_code": "562771205",
"telephone_number": "320-522-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S 10TH ST",
"city": "OLIVIA",
"state": "MN",
"postal_code": "562771205",
"telephone_number": "320-522-2382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNEN",
"first_name": "CHERYL",
"middle_name": "ELAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-23",
"last_updated": "2011-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MN",
"license": "350308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olivia, MN
- Healthpartners RC
- Healthpartners RC (Olivia Hospital & Clinic)
- Healthpartners RC (Olivia Hospital & Clinic)
- Healthpartners RC (Olivia Hospital & Clinic)
- Healthpartners RC (Olivia Hospital & Clinic)
- Independent School District No 2534
- Anna Elizabeth Johansen, FNP
- Kandiyohi-Renville Community Health Board
- Jon R Kemp, MD
- Roberta Lynn Kopel, DVM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.