Stacy Marie Hendrickson
Licensed Practical Nurse • Dayton, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stacy Hendrickson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Stacy Hendrickson was a registered Licensed Practical Nurse practicing in Dayton, OH. Throughout an active medical career spanning 1 years, Stacy Hendrickson provided care at the practice location at 4977 NORTHCUTT PL until profile deactivation on 2020-07-17.
Practice Location & Contact Primary Location
4977 Northcutt Pl
Dayton, OH 454143839
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Dayton, OH
Practicing in Dayton, OH (13034 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Registered Nurse
Registered Nurse
Social Worker - Clinical
Licensed Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 17, 2020
NPI status registered as active in NPPES database
Registered at 4977 NORTHCUTT PL, DAYTON, OH 454143839 (Tel: 9373676269)
Registered at 1503 COVENTRY RD, DAYTON, OH 454103210 (Tel: 9373044706)
Recorded as STACY HENDRICKSON
Licensed Practical Nurse (License #LPN.167770.MEDS-IV in OH)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
1503 Coventry Rd
Dayton, OH 454103210
Phone: 9373044706
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