IndividualActive
Kathleen Hendricks, APN
NPI 1205312790 · Nurse Practitioner · Peoria, IL
Provider details
- NPI number
- 1205312790
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- 041.415297 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2809 W Willow Knolls Dr
Peoria, IL 61614
Phone: (309) 692-6604
Street-level locationGet directions
Mailing address
2809 W Willow Knolls Dr
Peoria, IL 61614-8517
Registry dates
- Enumerated
- 2018-07-17
- Last updated
- 2018-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.