Active NPI
Veronica Henderson, NP-C
- Pain Medicine Physician
- Cincinnati, OH
National Provider Identifier
1013260421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- COA.14058-NP
- Practice address
- 4355 Ferguson Dr
Suite 270
Cincinnati, OH 45245-5136 - Phone
- (513) 718-0115
- Fax
- (855) 540-4722
- NPI assigned
- Oct 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0912131 | OH | |
| Pain Medicine Physician | 208VP0000X | COA.14058-NP | OH | Primary |
Addresses
Primary practice location
4355 Ferguson Dr
Suite 270
Cincinnati, OH 45245-5136
Mailing address
131 Saundersville Rd Ste 160
Hendersonville, TN 37075-8940
Phone (615) 824-3737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.14058-NP | OH | MD | Pain Medicine Physician |
| F0912131 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Midwest Hospitalists, Inc | Past | Accepting new patients |
Locations
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
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.
-
- Hospitalist Physician
- Blue Ash, OH
- NPI 1356465439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436486400000",
"number": "1013260421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 SAUNDERSVILLE RD STE 160",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370758940",
"telephone_number": "615-824-3737",
"fax_number": "855-540-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4355 FERGUSON DR",
"address_2": "SUITE 270",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452455136",
"telephone_number": "513-718-0115",
"fax_number": "855-540-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "VERONICA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-23",
"last_updated": "2015-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "F0912131",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "OH",
"license": "COA.14058-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.