Justin Scot Henderson, RN, CWCN

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

License

R33505 Issued in ND

Practice address

2101 Elm St N
Fargo, ND 58102-2417

Phone

(701) 451-4688

NPI assigned

Sep 18, 2024

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1013744507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 INTERSTATE BLVD",
            "city": "HARWOOD",
            "state": "ND",
            "postal_code": "580424001",
            "telephone_number": "701-793-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ELM ST N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581022417",
            "telephone_number": "701-451-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JUSTIN",
        "middle_name": "SCOT",
        "credential": "RN, CWCN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "ND",
            "license": "R33505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick Helwig, MD
• Kelsey Hemberger, MOTR/L
• Christina Hemmer, LPC
• Lynae S Hemming, LAPC
• Caitlin Hemquist, PNP-PC
• Kiersten Collette Henderson
• Elizabeth Hendrickson, LMAC
• Jodi Denee Hendrickson, PT
• Nicholas Hendrickx, PT
• Lauren Hengel, DNP, FNP-C

• Wound Care Registered Nurse in Fargo, ND
• Providers in Fargo, ND by specialty
• Wound Care Registered Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.