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VIVIAN HENDRICKSON
NPI 1871267955
Physician Assistant - Medical in Gary, IN

Active since August 03, 2021
1100 W 6TH AVE, GARY, IN 46402(219) 885-4264 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivian Hendrickson NPPES

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

VIVIAN HENDRICKSON (NPI 1871267955) is an individual medical provider in Gary, Indiana and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1871267955
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameVIVIAN HENDRICKSON
Location Address1100 W 6TH AVEGary, IN 46402-1711
Mailing Address1100 W 6th AveGary, IN 46402-1711 · (219) 885-4264
Phone(219) 885-4264
Sole ProprietorNo
Enumeration DateAugust 3, 2021
NPPES CertifiedAugust 3, 2021
✔ NPI 1871267955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1100 W 6TH AVE, Gary, IN 46402
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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.

MRS. LARESSE HARRIS APRN, FNP-C
Nurse Practitioner (Family)
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
DAWN RANDLE
Behavior Technician
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
RESEDA STURDIVANT
Technician, Other
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
LYTINA NICOLE BARNETT
Social Worker
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
JEWEL YVETTA JONES
Technician (Attendant Care Provider)
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
DIANEA' LYNN MCINTOSH
Behavior Analyst
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264
MARSHA CLARK RN
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 240-8615
SHANELL LITHRESE HIGHTOWER
Counselor
1100 W 6TH AVE
GARY, IN 46402
Lake County (219) 885-4264

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 Vivian Hendrickson's NPI number?

The NPI number for Vivian Hendrickson is 1871267955. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Vivian Hendrickson located?

Vivian Hendrickson practices at 1100 W 6th Ave, Gary, IN 46402. The listed phone number is (219) 885-4264.

What is Vivian Hendrickson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Vivian Hendrickson was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.