Terry Henson, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

163WR0006X Issued in NM

Practice address

455 Sego Lily St
Bosque Farms, NM 87068-9556

Phone

(505) 884-1214

Fax

(505) 884-8046

NPI assigned

Jan 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023167202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SEGO LILY ST",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870689556",
            "telephone_number": "505-884-1214",
            "fax_number": "505-884-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SEGO LILY ST",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870689556",
            "telephone_number": "505-884-1214",
            "fax_number": "505-884-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "TERRY",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NM",
            "license": "163WR0006X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Gonzales
• James Edwin Gutierrez, COTA/L
• Roberta Hartman, LMT,CMLDT
• James Andrew Hatfield, M.A.
• Health Quest Wellness Bosque, LLC
• Kellijo Jacobson
• Jade Marie Jamros, LMT
• Janus J. de Cunae, DDS, LLC
• Elizabeth Nickless Joyce, OTR
• Jacqueline Kelly-Romero, RN, MSN, CCM

• Registered Nurse First Assistant in Bosque Farms, NM
• Providers in Bosque Farms, NM by specialty
• Registered Nurse First Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.