David Lance Henderson

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

91 Bay Bridge Dr
Gulf Breeze, FL 32561-4468

Phone

(850) 418-9890

NPI assigned

Jul 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Firstlight Home Care

  • Home Health Agency
  • Gulf Breeze, FL
  • NPI 1114477338
  NPD (past) Authorized official

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1003369190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 CODELL ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668128",
            "telephone_number": "850-240-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 BAY BRIDGE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614468",
            "telephone_number": "850-418-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DAVID",
        "middle_name": "LANCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolle L Hawley, APRN
• Leana Hayes
• Hayfield Healing, Inc.
• Claire Hemphill, APRN
• Debra Lynn Hemphill, ARNP
• Ekaterina Henning
• Brooks Anderson Hiers, PHARMD
• Rebecca James Hines, R.PH.
• Hinote Medical, LLC
• Erin Caroline Hinze, APRN

• Adult Companion in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Adult Companion in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.