Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083490031 Individual Practitioner Female Practitioner

Dominique S Hendricks

Licensed Practical Nurse • Anmoore, WV

Professional Overview & Biography Verified Profile Summary

Dominique Hendricks is a registered healthcare professional specializing in Licensed Practical Nurse in Anmoore, WV. Practice services are available at 67 CASINO DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

67 Casino Drive

Anmoore, WV 26323

Telephone 3046221684
Fax 3046220810
Associated Practice Facility / Clinic
🏢 Amedisys Hospice Llc Facility NPI 1649422239

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Anmoore, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Anmoore, WV (890 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-25
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WV 40469

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

6 Associated Practitioners
Jemia Gregory

Physical Therapist

NPI 1053016766
Brandi Mccumbers , LPN

Licensed Practical Nurse

NPI 1548954738

Licensed Practical Nurse

Desirae Greathouse , LPN

Licensed Practical Nurse

NPI 1609650316

Licensed Practical Nurse

Luke Rinehart , OTR, L

Occupational Therapist

NPI 1629755780

Occupational Therapist Registered, L

Jennifer Critchfield , LPN

Licensed Practical Nurse

NPI 1922784552

Licensed Practical Nurse

Adria Lafferty , RN

Registered Nurse

NPI 1962194795

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2023

Registered at 67 CASINO DRIVE, ANMOORE, WV 26323 (Tel: 3046221684)

📍
Updated Business Mailing Address September 06, 2023

Registered at PO BOX 315, ANMOORE, WV 263230315

👤
Provider Name / Credentials Updated September 06, 2023

Recorded as DOMINIQUE HENDRICKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2023

Licensed Practical Nurse (License #40469 in WV)

🟢
Initial NPI Registration & Enumeration September 06, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083490031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2023
Last Update: September 06, 2023
Sole Proprietor: No

Mailing Address

Po Box 315

Anmoore, WV 263230315

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.