Stephanie Kay Hendricks

Physician Assistant · Newton, UT

Individual Active NPI

NPI number 1558983791

Practice location

6520 N Hwy 23
Newton, UT 84327

Phone: (435) 890-0369

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NPI record

NPI: 1558983791
Entity type: Individual (Type 1)
Enumeration date: May 11, 2020
Last updated: December 22, 2020
Certified: December 22, 2020
Sole proprietor: Yes

Specialties & taxonomy codes

Taxonomy	Code	License	State
Physician Assistant Primary	`363A00000X`	11899073-1206	UT
Physician Assistant	`363A00000X`	PA-1976	ID
Student in an Organized Health Care Education/Training Program	`390200000X`	—	—

Mailing address

740 S Woodruff Ave
Idaho Falls, ID 83401-5285

Phone: (208) 542-9111
Fax: (208) 542-9114

Other practice locations (3)

630 E 1400 N Ste 150, Logan, UT 84341 · (435) 915-4465
700 S Highway 91, Richmond, UT 84333 · (435) 294-3215
1201 S Main St Ste 110, Logan, UT 84321 · (435) 787-8504

About Stephanie Hendricks

Stephanie Kay Hendricks is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 6520 N Hwy 23, Newton, UT 84327. The NPI number 1558983791 was assigned on May 11, 2020 and the record was last updated on December 22, 2020.

Stephanie Hendricks lists 2 licenses in the registry: #11899073-1206 (UT) for Physician Assistant; #PA-1976 (ID) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephanie Kay Hendricks?

The NPI number is 1558983791.

What is the phone number of Stephanie Hendricks?

The phone number listed for the practice location is (435) 890-0369.

Where is Stephanie Hendricks located?

6520 N Hwy 23, Newton, UT 84327.

What is the taxonomy code for Stephanie Hendricks?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

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.