Brenda Lee Hentges

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L558769 Issued in MN

Practice address

407 5TH St NW
Montgomery, MN 56069-1026

Phone

(612) 203-4779

NPI assigned

Mar 13, 2015

Sex

Female

Sole proprietor

No

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": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1992198055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 5TH ST NW",
            "city": "MONTGOMERY",
            "state": "MN",
            "postal_code": "560691026",
            "telephone_number": "612-203-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 5TH ST NW",
            "city": "MONTGOMERY",
            "state": "MN",
            "postal_code": "560691026",
            "telephone_number": "612-203-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTGES",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L558769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Geoffrey a. Iverson, D.D.S., LTD.
• Sarah Elizabeth Evert, MSW, LICSW
• Sara Marie Farias, CNP
• Maeghan Farley, DDS
• Golden Years Home
• Herrmann Drug Inc.
• Seth Huiras, D.D.S.
• Hunter Creek Dental, PA
• Inspire Services, LLC
• Kory Lee Isley, D.C.

• All providers in Montgomery, MN
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.