Wisteria D Hendricks Dba S&S

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

WISTERIA D HENDRICKS DBA S&S

Doing business as

S&S

Practice address

6065 Lakeview Overlook
Lithonia, GA 30038-3462

Phone

(678) 691-9916

Fax

(404) 304-5256

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Wisteria D Hendricks, BA, MBA, MHRM

Title

Owner

Phone

(678) 691-9916

Specialties & licenses 2

Addresses

Other names 1

• S&S Doing business as

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1770070237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 LAKEVIEW OVERLOOK",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383462",
            "telephone_number": "678-691-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 LAKEVIEW OVERLOOK",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383462",
            "telephone_number": "678-691-9916",
            "fax_number": "404-304-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISTERIA D HENDRICKS DBA S&S",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "WISTERIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-691-9916",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA, MBA, MHRM"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S&S",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenya Wilson, RN
• Natasha Wilson, D.D.S.
• Tyquine Wilson
• Tasia Winans, MT
• Sonya Lynnette Windham, DMD
• Lisa J Wolfgang, RN
• Women'S Imaging Specialists - Lithonia, LLC
• Womens Healthcare and Aesthetics
• Beverly A Woods, ARNP
• World of Love L.L.C.

• Non-emergency Medical Transport (VAN) in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.