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HETRICKKOENIGHEALTH, LLC
NPI 1154963999
Family Medicine in Worthington, OH

Active since October 14, 2019CLIA 36D2170419 · Waiver
885 HIGH ST STE 107, WORTHINGTON, OH 43085(614) 368-7070(614) 957-8610 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hetrickkoenighealth, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HETRICKKOENIGHEALTH, LLC (NPI 1154963999) is a healthcare organization registered as a family medicine in Worthington, Ohio and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Jennifer E Hetrick, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1154963999
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHETRICKKOENIGHEALTH, LLC
Location Address885 HIGH ST STE 107Worthington, OH 43085-4158
Mailing Address6695 Thorne StWorthington, OH 43085-2431 · (646) 831-8044 · Fax (614) 957-8610
Phone(614) 368-7070
Fax(614) 957-8610
Organization SubpartNo
Authorized OfficialJennifer E HetrickPhysician/owner · (646) 831-8044
Enumeration DateOctober 14, 2019
✔ NPI 1154963999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
885 HIGH ST STE 107, Worthington, OH 43085
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2170419

Hetrick Koenig Health, LLC · Worthington, OH
Active · expires Aug 11, 2027
CLIA Number36D2170419
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorJennifer E. Hetrick
Laboratory Phone(646) 831-8044
Laboratory LocationHetrick Koenig Health, LLC885 High St, Worthington, OH 43085
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER ELLEN HETRICK M.D.
Family Medicine
885 HIGH ST STE 107
WORTHINGTON, OH 43085
Franklin County (614) 368-7070
UNIVERSITY SLEEP MEDICINE LLC
Clinical Medical Laboratory
885 HIGH ST STE 107
WORTHINGTON, OH 43085
Franklin County (614) 505-0070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hetrickkoenighealth, LLC's NPI number?

The NPI number for Hetrickkoenighealth, LLC is 1154963999. It was assigned to this organization in the NPPES registry on October 14, 2019.

Where is Hetrickkoenighealth, LLC located?

Hetrickkoenighealth, LLC is located at 885 High St Ste 107, Worthington, OH 43085. The listed phone number is (614) 368-7070.

What is Hetrickkoenighealth, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Hetrickkoenighealth, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2170419) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hetrickkoenighealth, LLC was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.