Jill Elizabeth Hendrickson, MS, MSSW (CGC)

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

1505 SW Archer Rd FL 1
Gainesville, FL 32608-1134

Phone

(352) 265-0111

NPI assigned

Oct 31, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1831666544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 SW 16TH ST RM 1131",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081128",
            "telephone_number": "362-273-9734",
            "fax_number": "352-273-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SW ARCHER RD FL 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081134",
            "telephone_number": "352-265-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "JILL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MS, MSSW (CGC)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viktoria B Henderson
• Deja Hendricks
• Nicholas McCulloch Hendricks
• Seth Hendricks
• Andrew Hendrickson, PHARMD
• Jared Hendrieth
• Tammy Hendrix, MSW
• Ellen Middleton Hendry, PA-C
• Rachel K Henesy, M.AE/ED.S
• Kimberly S Heninger, LMT

• Genetic Counselor (M.S.) in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Genetic Counselor (M.S.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.