Active NPI
Kim Hendricks, M.A.
- Audiologist
- Garden City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 64
- Practice address
- 311 E Spruce St
Garden City, KS 67846-5679 - Phone
- (620) 275-3700
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 64 | KS | Primary |
Addresses
Primary practice location
311 E Spruce St
Garden City, KS 67846-5679
Mailing address
311 E Spruce St
Garden City, KS 67846-5679
Phone (620) 275-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100227970C | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W Ross Blvd
Suite 1B
Dodge City, KS 67801-7217
Phone (620) 371-5576
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00064 | KS | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonspirit Kansas, Inc. | Current | Accepting new patients | |
| Commonspirit Kansas, Inc. | Audiologist | Past | Accepting new patients |
| Commonspirit Kansas, Inc. | Audiologist | Past | Accepting new patients |
Locations
401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222
311 E Spruce St
Garden City, KS 67846
Phone (620) 271-3139
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Garden City, KS
- NPI 1659360196
-
- Pediatrics Physician
- Garden City, KS
- NPI 1922558279
-
- Audiologist
- Garden City, KS
- NPI 1205549011
-
- Obstetrics & Gynecology Physician
- Garden City, KS
- NPI 1376093468
Audiologist
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Garden City, KS
- NPI 1659360196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1831141589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 E SPRUCE ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465679",
"telephone_number": "620-275-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E SPRUCE ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465679",
"telephone_number": "620-275-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "KIM",
"name_prefix": "Miss",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KS",
"license": "64",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100227970C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.