Individual
GAIL HERNDON FENNIMORE
Active
Individual
GAIL HERNDON FENNIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103C
BLUE CROSS BLUE SHIELD
NC
01
—
56-1480824
FEDERAL TAX ID
NC
01
—
64-42619
UNITED HEALTHCARE
NC
05
—
7211539
—
NC
Enumeration date
03/24/2006
Last updated
03/07/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up