Individual provider Active NPI

Cambridge Hendrix, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1881376606
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906077 Issued in MS
Practice address
239 Road 1046
Tupelo, MS 38801-7812
Phone
(662) 871-7570
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 906077 MS Primary

Addresses

Primary practice location

239 Road 1046
Tupelo, MS 38801-7812

Mailing address

239 Road 1046
Tupelo, MS 38801-7812
Phone (662) 871-7570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240119003711 MS Practitioner - Nurse Practitioner 8820440316 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
906077MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family CurrentSince Dec 15, 2023 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Dec 15, 2023 Accepting new patients
Friendship Medical Clinic, LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

5482 Highway 15 N
Ecru, MS 38841
Phone (662) 256-9730

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGAACA
  • Direct secure messaging: cambridge.hoskins.hendrix.1@22854.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1881376606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 ROAD 1046",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017812",
            "telephone_number": "662-871-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 ROAD 1046",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017812",
            "telephone_number": "662-871-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "CAMBRIDGE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.