Active NPI
Linda Hendrien
- Licensed Practical Nurse
- Royal Oak, MI
National Provider Identifier
1962965590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703104073
- Practice address
- 1422 Hickory Ave
Royal Oak, MI 48073-3292 - Phone
- (248) 835-8768
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703104073 | MI | MD | Licensed Practical Nurse |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703104073 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1422 Hickory Ave
Royal Oak, MI 48073-3292
Mailing address
1422 Hickory Ave
Royal Oak, MI 48073-3292
Phone (248) 835-8768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2019.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554854400000",
"number": "1962965590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 HICKORY AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733292",
"telephone_number": "248-835-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 HICKORY AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733292",
"telephone_number": "248-835-8768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIEN",
"first_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2019-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703104073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.