Active NPI
Lauren Colby Hendricks, ARNP
- Pediatric Nurse Practitioner
- Saint Augustine, FL
National Provider Identifier
1831697226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- ARNP9361337
- Practice address
- 100 Whetstone PL Ste 205
Saint Augustine, FL 32086-5775 - Phone
- (904) 819-9925
- NPI assigned
- Jan 31, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN9361337 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9361337 | FL | Primary |
Addresses
Primary practice location
100 Whetstone PL Ste 205
Saint Augustine, FL 32086-5775
Mailing address
406 Hefferon Dr
Saint Augustine, FL 32084-6516
Phone (772) 633-3257
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9361337 | FL | MD | Pediatric Registered Nurse |
| ARNP9361337 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Diseases Associates of North Florida, P.a. | Past | Accepting new patients | |
| Anastasia Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDDGAA
- lauren.hendricks@anapeds.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- St Augustine, FL
- NPI 1205192739
-
- Legal Medicine
- St Augustine, FL
- NPI 1841384005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1831697226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 HEFFERON DR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320846516",
"telephone_number": "772-633-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WHETSTONE PL STE 205",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865775",
"telephone_number": "904-819-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "LAUREN",
"middle_name": "COLBY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-31",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "FL",
"license": "RN9361337",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP9361337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.