Physician Compare National (NPI:1356537542)

HEALTHCARE PROVIDER: NATALIE COX HERNDON PHD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1356537542
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507150356
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160802002776
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERNDON
	Individual professional last name
Provider First Name	NATALIE
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9071 S 1300
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	WEST JORDAN
	Group Practice or individual's city
State	UT
	Group Practice or individual's state
Zip Code	840886673
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y