Individual provider Active NPI

Henry Henao, MSN, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1003084278
Registry record updated Jul 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9219002 Issued in FL
Practice address
11200 SW 8TH Street Academic Health Center 3, 305a
Miami, FL 33199-2924
Phone
(305) 348-1082
NPI assigned
Feb 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X EMT 304782 FL
Family Nurse Practitioner 363LF0000X ARNP 9219002 FL Primary

Addresses

Primary practice location

11200 SW 8TH Street Academic Health Center 3, 305a
Miami, FL 33199-2924

Mailing address

1421 SW 107TH Ave Ste 118
Miami, FL 33174-2526
Phone (305) 490-0494

Other practice location 1

1421 SW 107th Ave Ste 118
Miami, FL 33174-2526
Phone (305) 490-0494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
EMT 304782FLMDBasic Emergency Medical Technician
ARNP 9219002FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C & C Complete Medical Care Group PA Current Accepting new patients
Nurse Practitioner Associates of South Florida, P.a. Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: henry.henao.1@27920.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1003084278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 SW 107TH AVE STE 118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742526",
            "telephone_number": "305-490-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 SW 8TH STREET ACADEMIC HEALTH CENTER 3, 305A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331992924",
            "telephone_number": "305-348-1082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 SW 107th Ave Ste 118",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331742526",
            "country_code": "US",
            "telephone_number": "305-490-0494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENAO",
        "first_name": "HENRY",
        "name_prefix": "Prof.",
        "credential": "MSN, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "FL",
            "license": "EMT 304782",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9219002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.