SHIRLEY J HENDRICKSON NP
NPI 1508396094
Nurse Practitioner - Adult Health in New York, NY

Active since June 15, 2017
1275 YORK AVE, NEW YORK, NY 10065(212) 639-6921 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 3, 2020, Aug 2, 2017, Jun 15, 2017 (3 updates tracked since 2017).

About Shirley J Hendrickson Np NPPES

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

SHIRLEY J HENDRICKSON NP (NPI 1508396094) is an individual adult health provider in New York, New York, licensed in New York (F308285-1) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1508396094
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHIRLEY J HENDRICKSONCredential: NP
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address6210 62nd RdMiddle Village, NY 11379-1019 · (347) 224-0871
Sole ProprietorYes
Enumeration DateJune 15, 2017
Last NPPES UpdateApril 3, 20203 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
NPI 1508396094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F308285-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 617212 (NY)
1275 YORK AVE, New York, NY 10065

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Shirley Hendrickson's NPI number?

The NPI number for Shirley Hendrickson is 1508396094. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Shirley Hendrickson located?

Shirley Hendrickson practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-6921.

What is Shirley Hendrickson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Shirley Hendrickson was last updated on April 3, 2020. 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.