Tina Henry

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

3100 Ridgelake Dr Ste 309
Metairie, LA 70002-4938

Phone

(504) 309-0259

Fax

(504) 309-2702

NPI assigned

Nov 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1013672054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 RIDGELAKE DR STE 309",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024938",
            "telephone_number": "504-309-0259",
            "fax_number": "504-309-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RIDGELAKE DR STE 309",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024938",
            "telephone_number": "504-309-0259",
            "fax_number": "504-309-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "TINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750754727",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "METAIRIE",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "METAIRIE",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "METAIRIE",
            "address_1": "3100 Ridgelake Dr Ste 309",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700024938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Marie Henry Wilklow, LCSW
• Ariel Henry
• Brittany Henry
• Niquel Henry
• Shane Henry, D.C.
• Lauren Elizabeth Herbert
• Melissa Herbert, BT
• Zalynn Z Herbert
• Alaniss Heredia
• Victoria Hermann

• Personal Care Attendant in Metairie, LA
• Providers in Metairie, LA by specialty
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.