Active NPI
Emmy Lu Henley, PHD, RDN, LD, CEDRD
- Registered Dietitian
- Lubbock, TX
National Provider Identifier
1003357518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT81284
- Practice address
- 6520 University Ave
Suite 5
Lubbock, TX 79413 - Phone
- (806) 370-3755
- NPI assigned
- Mar 16, 2017
- Last updated
- Jun 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT81284 | TX | Primary |
Addresses
Primary practice location
6520 University Ave
Suite 5
Lubbock, TX 79413
Mailing address
6520 University Ave
Suite 5
Lubbock, TX 79413-5860
Phone (806) 370-3755
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT81284 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Networks
- TX HMO D-SNP
- TX HMO
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529798400000",
"number": "1003357518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6520 UNIVERSITY AVE",
"address_2": "SUITE 5",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794135860",
"telephone_number": "806-370-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6520 UNIVERSITY AVE",
"address_2": "SUITE 5",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79413",
"telephone_number": "806-370-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENLEY",
"first_name": "EMMY",
"middle_name": "LU",
"name_prefix": "Mrs.",
"credential": "PHD, RDN, LD, CEDRD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-16",
"last_updated": "2018-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.