Carriston Hendricks, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP133333 Issued in TX

Practice address

1743 Southview Cir
Center, TX 75935-9324

Phone

(936) 590-4708

Fax

(936) 590-4815

NPI assigned

Feb 16, 2017

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 TX

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advantage Plus Homecare Home health agency, Nacogdoches, TX, CCN 747683
• A Pineywoods Home Health Care Inc Home health agency, Lufkin, TX, CCN 677545
• Elara Caring Home health agency, Jasper, TX, CCN 677660
• Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FCEBCD/Endpoint/FCEBCD
• FHIR API: https://fhir4.healow.com/fhir/r4/CHGBAA

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.

• Priority Family Healthcare LLC

  • Primary Care Nurse Practitioner
  • Center, TX
  • NPI 1558983197
  Medicare reassignment NPD Authorized official
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1053784660
  Medicare reassignment Care Compare group NPD
• Nacogdoches Nephrology, PA

  • Specialist
  • Nacogdoches, TX
  • NPI 1710120167
  Medicare reassignment NPD
• Urgent Health Solutions, PLLC

  • Urgent Care Clinic/Center
  • Lufkin, TX
  • NPI 1164621934
  Medicare reassignment NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033968789
  NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1407211295
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• A Pineywoods Home Health Care, Inc.

  • Home Health Agency
  • Lufkin, TX
  • NPI 1174638852
  Care Compare affiliation
• CBL Medical Enterprises, Inc.

  • Home Health Agency
  • Nacogdoches, TX
  • NPI 1811205370
  Care Compare affiliation
• JHS Operations, LLC

  • Home Health Agency
  • Jasper, TX
  • NPI 1285627190
  Care Compare affiliation
• TH Healthcare, LTD

  • General Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1700885076
  Care Compare affiliation

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1750820296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759351749",
            "telephone_number": "936-590-4708",
            "fax_number": "936-590-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 SOUTHVIEW CIR",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759359324",
            "telephone_number": "936-590-4708",
            "fax_number": "936-590-4815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "626 Russell Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "75965",
            "country_code": "US",
            "telephone_number": "936-552-7216",
            "fax_number": "936-552-7274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "CARRISTON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Miller Gunter, LPC
• Marcus Hafford
• Aretha L Hall
• Kathleen Ann Hammett, RN
• Health Opportunities for the People of East Texas
• Latrise Hewitt, LVN
• Brandi Marie Hodges, RN
• Holiday Nursing Center-Center TX LLC
• Hometown Counseling & Wellness PLLC
• Lanie Honea, SLP-ASSISTANT

• Family Nurse Practitioner in Center, TX
• Providers in Center, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.