Katherine Joy Hendricks, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24075 Issued in SC

Practice address

115 Brushy Creek Rd
Easley, SC 29642-1120

Phone

(864) 635-0376

Fax

(864) 442-6848

NPI assigned

Jul 13, 2020

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 SC

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

Accepts the Medicare-approved amount as payment in full

Group practices

CSP Enterprises LLCGroup PAC ID 3072949320, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• CSP Enterprises LLC

  dba Carolina Spine and Pain Associates

  • Pain Medicine Physician
  • Easley, SC
  • NPI 1821637760

  Family

  Medicare reassignment Care Compare group NPD
• Carolina Spine Pain LLC

  • Pain Medicine Physician
  • Easley, SC
  • NPI 1447918230
  NPD (past)

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1700404019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BRUSHY CREEK RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421120",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRUSHY CREEK RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421120",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Perpetual Sq",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211713",
            "country_code": "US",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Memorial Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054407",
            "country_code": "US",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1923 E Main St",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "SC",
            "postal_code": "293348885",
            "country_code": "US",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "KATHERINE",
        "middle_name": "JOY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavensent Home Care Solutions LLC
• Helping Hands for Seniors, LLC
• Jennifer G Henderson
• Mary Kathryn Henderson
• Trina Carine Henderson, FNP-C
• Maxwell P. Hendrix, M.D.
• Hilery Phelps Hennessee
• Timothy Ryan Hensley, M.D.
• Andrew Dean Herman, D.C.
• Steve Lazaro Hernandez

• Family Nurse Practitioner in Easley, SC
• Providers in Easley, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.