Lorena Carrillo Henderson, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

607418 Issued in TX

Practice address

4301 N Mesa St Ste 100
El Paso, TX 79902-1118

Phone

(915) 613-7716

Fax

(855) 710-7290

NPI assigned

Dec 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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.

• Michael J Deluca MD PA

  • Interventional Cardiology Physician
  • El Paso, TX
  • NPI 1275645962
  NPD (past)

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1013286830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7248 CANYON WREN AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113067",
            "telephone_number": "915-613-7716",
            "fax_number": "855-710-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MESA ST STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021118",
            "telephone_number": "915-613-7716",
            "fax_number": "855-710-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LORENA",
        "middle_name": "CARRILLO",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "CNP-02601",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "607418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helping Hands Visiting Angels, LLC
• Hemispheres Mind Care, PLLC
• Aaron Joseph Henckel, DC
• Tarah L Henderson-Toderic, DO
• Gary Lee Henderson, RPH
• Rachel Henderson
• Robert E. Henderson, DDS
• Christopher S. Hendricks, RN
• Erin Marie Hendricks, MS CCC-SLP
• Gordon C. Hendricks, O.D., M.S.

• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.