DE'RICO HENDRICKS CAA NPI 1184350134

NPI Information

NPI: 1184350134
Provider Name: DE'RICO HENDRICKS, CAA
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
7919 COURTLEIGH DR
ORLANDO, FL
ZIP 32835
Phone: (191) 651-2991
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De'rico Hendricks, CAA is a student in an organized health care education training program in Orlando, FL with 1 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. De'rico Hendricks, CAA NPI is 1184350134. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7919 COURTLEIGH DR
ORLANDO, FL
ZIP 32835-930
Phone: (191) 651-2991

The enumeration date for this NPI number is 7/30/2022 and was last updated on 7/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	367H00000X	Anesthesiologist Assistant				No
2	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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