Shemeka Hendrieth

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5166356 Issued in FL

Practice address

968 Redwood St
Daytona Beach, FL 32117-4572

Phone

(386) 238-5706

NPI assigned

Oct 10, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1861034886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 REDWOOD ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 REDWOOD ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174572",
            "telephone_number": "386-238-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIETH",
        "first_name": "SHEMEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5166356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Henderson, M.D.
• James Henderson, LMHC
• Scott Henderson
• Valerie Elaine Henderson, DC
• Cristoy Hendralind, CRNA
• Jameson Henry, MD
• Michael L. Hensler Jr., PA-C
• Emily Lauren Hepler, RPH, PHARMD
• Connor Hermida, MD
• Laura Hernandez Torres

• Licensed Practical Nurse in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.