Active NPI
Aisha Hendricks, LM, CPM
- Midwife
- Indio, CA
National Provider Identifier
1801319561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 722
- Practice address
- 83380 Greenbrier Dr
Indio, CA 92203-3037 - Phone
- (760) 989-0923
- NPI assigned
- Jul 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 5-201727 | CA | |
| Midwife | 176B00000X | 722 | CA | Primary |
Addresses
Primary practice location
83380 Greenbrier Dr
Indio, CA 92203-3037
Mailing address
83380 Greenbrier Dr
Indio, CA 92203-3037
Phone (760) 989-0923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5-201727 | CA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1801319561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83380 GREENBRIER DR",
"city": "INDIO",
"state": "CA",
"postal_code": "922033037",
"telephone_number": "760-989-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83380 GREENBRIER DR",
"city": "INDIO",
"state": "CA",
"postal_code": "922033037",
"telephone_number": "760-989-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "AISHA",
"credential": "LM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "CA",
"license": "5-201727",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.