Individual provider Active NPI

Mary L Hendrix, RN-C, WHCNP

  • Women's Health Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1699773556
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APN.0001502-NP Issued in CO
Practice address
1635 Aurora CT
Aurora, CO 80045-2541
Phone
(720) 848-0000
NPI assigned
Jul 13, 2005
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APN.0001502-NP CO Primary
Women's Health Nurse Practitioner 363LW0102X 47375 CO

Addresses

Primary practice location

1635 Aurora CT
Aurora, CO 80045-2541

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

2463 S Oakland Cir
Aurora, CO 80014-1887
Phone (303) 695-7873

Other practice location 2

9981 Washington St Ste 22
Thornton, CO 80229-2165
Phone (303) 252-1247

Other practice location 3

2600 South Parker Road
Bldg 2. Suite 120
Aurora, CO 80014
Phone (303) 343-9500

Other names 1

  • Mary Louise Hendrix Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
47375COMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cisneros Center of Obstetrics and Gynecology Obstetrics & Gynecology PastSince Feb 15, 2006 Accepting new patients
Colorado Primary Care Clinic Inc Nurse Practitioner PastSince Nov 27, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1699773556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429",
            "fax_number": "303-745-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 AURORA CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452541",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2463 S Oakland Cir",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800141887",
            "country_code": "US",
            "telephone_number": "303-695-7873",
            "fax_number": "303-745-6925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9981 Washington St Ste 22",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802292165",
            "country_code": "US",
            "telephone_number": "303-252-1247",
            "fax_number": "844-849-2160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 South Parker Road",
            "address_2": "Bldg 2. Suite 120",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80014",
            "country_code": "US",
            "telephone_number": "303-343-9500",
            "fax_number": "303-343-9506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "RN-C, WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.0001502-NP",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "47375",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HENDRIX",
            "middle_name": "LOUISE",
            "credential": "N.P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.