Rosetta T Hendricks, RN, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R118050 Issued in MD

Practice address

3937 Ferrara Dr
Silver Spring, MD 20906-4709

Phone

(301) 942-0678

Fax

(301) 942-0079

NPI assigned

Jun 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1851327217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 FESSENDEN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200082029",
            "telephone_number": "301-942-0678",
            "fax_number": "301-942-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 FERRARA DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064709",
            "telephone_number": "301-942-0678",
            "fax_number": "301-942-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "ROSETTA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "RN, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN39420",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R118050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00144321",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Henderson, PSY.D.
• Fraser Cummins Henderson Jr., M.D.
• James L Henderson, MD
• Kristin Henderson, RN
• Taniya Henderson
• Sharde N Hendrix
• Henik Technologies and General Services, LLC
• Deborah Hennen, PA
• Katherine Anne Hennings
• Magdalena Henriquez

• Family Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.