Theresa Sue Henderson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3016163 Issued in KY

Practice address

10 N Highway 27
Whitley City, KY 42653-6024

Phone

(606) 376-5363

Fax

(606) 376-9919

NPI assigned

Jun 1, 2021

Sex

Female

Sole proprietor

Yes

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Industrial Wellness Services of Kentucky PLLCGroup PAC ID 3577781582, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Health Care of Pulaski Home health agency, Somerset, KY, CCN 187099
• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Industrial Wellness Services of Kentucky, PLLC

  • Corporate Health Clinic/Center
  • Pine Knot, KY
  • NPI 1851618607
  Medicare reassignment Care Compare group NPD
• Hoover A Perry, MD

  • General Practice Physician
  • Whitley City, KY
  • NPI 1649236613
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lake Cumberland Regional Hospital LLC

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation
• Lifeline Home Health Care of Somerset, LLC

  • Home Health Agency
  • Somerset, KY
  • NPI 1114951993
  Care Compare affiliation

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1013583012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N HIGHWAY 27",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426536024",
            "telephone_number": "606-376-5363",
            "fax_number": "606-376-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N HIGHWAY 27",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426536024",
            "telephone_number": "606-376-5363",
            "fax_number": "606-376-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "THERESA",
        "middle_name": "SUE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Hamlin, APRN
• Kelsie Hammons, FNP-C
• Stacey Deneise Hammons, PHARMD
• Martha Suzanne Hawks, PHARM D
• Amy L Heath
• Ho Medical & Chiropractic Corporation
• Hometown Medical Supplies LLC
• Hometown Medical Supplies LLC
• Just Family II, Inc.
• Jennie Maryann Keller, M.ED.

• Family Nurse Practitioner in Whitley City, KY
• Providers in Whitley City, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.