Individual provider Active NPI

Linda Hendrien

  • Licensed Practical Nurse
  • Royal Oak, MI
National Provider Identifier
1962965590
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703104073 Issued in MI
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

LicenseStateTypeSpecialty
4703104073MIMDLicensed Practical Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703104073 MI Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.