Katherine Hendricks, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP001702 Issued in SD

Practice address

1056 29TH St SE
Watertown, SD 57201-9120

Phone

(605) 753-0960

NPI assigned

Feb 19, 2020

Last updated

Feb 19, 2020By the provider in NPPES

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

Other names 1

• Kasie Hendricks Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Firefly Counseling, LLC

  • Clinical Psychologist
  • Watertown, SD
  • NPI 1699346924
  Authorized official Same address or phone
• T & L Quick Care PC

  • Acute Care Nurse Practitioner
  • Watertown, SD
  • NPI 1437650751
  NPD

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1750914677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 7TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015706",
            "telephone_number": "605-237-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 29TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019120",
            "telephone_number": "605-753-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "KATHERINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP001702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASIE",
            "last_name": "HENDRICKS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vitoria Heier
• Jani L Heiser, LCSW-PIP
• David Dean Helkenn, RPH
• Ally Mikel Helle
• Richard James Henderson, RN
• Lee Matthew Hendricks, PSY.D.
• Michael Alan Hendricks, DC
• Jennifer Henrichs, R.N.
• Eve Lynn Hensler, AUDIOLOGIST
• Kevin B Hericks, DDS PC

• Family Nurse Practitioner in Watertown, SD
• Providers in Watertown, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.