Bertha Lee Hendrix, OGNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

80575 Issued in NC

Practice address

227 Fountainhead LN
Fayetteville, NC 28301-5417

Phone

(910) 433-3647

Fax

(910) 433-3701

NPI assigned

Sep 12, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699879239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 PLEASANT OAK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145930",
            "telephone_number": "910-868-6171",
            "fax_number": "910-433-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 FOUNTAINHEAD LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015417",
            "telephone_number": "910-433-3647",
            "fax_number": "910-433-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "BERTHA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "OGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NC",
            "license": "80575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Franklin Hendley Jr.
• Elena Louise Hendren
• Ashley Louise Hendrick, PHARMD
• Trevor Elton Hendricks, PA-C
• Steven Hendrickson, CRNA
• Deirdre R Hendrix, M. ED., CCC-SLP
• Susan Walsh Hendrix, O.D.
• Michelena Annette Riles Hendy, RBT
• Avery Henegar
• Amy Jo Henkel, NP

• Obstetrics & Gynecology Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Obstetrics & Gynecology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.