Staci Diane Hendrickson, RD

Registered Dietitian · Lawrence, KS

Individual Active NPI

NPI number 1295064574

Practice location

4930 Overland Dr
Lawrence, KS 66049-4132
Phone
(785) 760-4501
Fax
(785) 727-1805

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NPI record

NPI
1295064574
Entity type
Individual (Type 1)
Enumeration date
December 15, 2009
Last updated
May 8, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 000947 KS

Mailing address

734 N 1851st Diag Rd
Lecompton, KS 66050-4114
Phone
(785) 760-4501
Fax
(785) 727-1805

About Staci Hendrickson

Staci Diane Hendrickson, RD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 4930 Overland Dr, Lawrence, KS 66049-4132. The NPI number 1295064574 was assigned on December 15, 2009 and the record was last updated on May 8, 2015.

Staci Hendrickson lists a license in the registry: #000947 (KS) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Staci Diane Hendrickson, RD?

The NPI number is 1295064574.

What is the phone number of Staci Hendrickson?

The phone number listed for the practice location is (785) 760-4501.

Where is Staci Hendrickson located?

4930 Overland Dr, Lawrence, KS 66049-4132.

What is the taxonomy code for Staci Hendrickson?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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