Individual provider Active NPI

Cristen Ann Matlock Hendrix, C.R.N.P.

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1841725884
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-140922 Issued in AL
Practice address
108 Sanders St
Athens, AL 35611-2459
Phone
(256) 230-1116
Fax
(256) 230-1156
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-140922 AL Primary

Addresses

Primary practice location

108 Sanders St
Athens, AL 35611-2459

Mailing address

108 Sanders St
Athens, AL 35611-2459
Phone (256) 230-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727000255 AL Practitioner - Nurse Practitioner 0143590901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ernest L Hendrix MD PCGroup PAC ID 4486671211, 3 clinicians

Practice addresses (Care Compare)

108 Sanders St
Suite D
Athens, AL 35611-2473
Phone (256) 230-1116

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-140922ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ernest L Hendrix MD PC CurrentSince Jul 5, 2017 Accepting new patients

Locations

108 Sanders St
Athens, AL 35611
Phone (256) 230-1116

108 Sanders St
Ste D
Athens, AL 35611
Phone (256) 230-1116

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.332764

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1841725884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SANDERS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112459",
            "telephone_number": "256-230-1116",
            "fax_number": "256-230-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SANDERS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112459",
            "telephone_number": "256-230-1116",
            "fax_number": "256-230-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "CRISTEN",
        "middle_name": "ANN MATLOCK",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.