Stephanie Boyd Henson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

022552 Issued in LA

Practice address

1801 Fairfield Ave
Suite 201
Shreveport, LA 71101-4443

Phone

(318) 848-2810

Fax

(318) 848-2815

NPI assigned

May 2, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 54)

Interoperability endpoints

• Direct secure messaging: stephanie.henson.1@16720.direct.athenahealth.com
• FHIR API: https://api.qualifacts.org/api/fhir/cahsd/r4/

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.

• Louisiana Department of Health - Office of Public Health

  • Public Health or Welfare Agency
  • New Orleans, LA
  • NPI 1144372343
  Medicare reassignment NPD
• Louisiana Department of Health - Office of Public Health

  • Public Health or Welfare Agency
  • Baton Rouge, LA
  • NPI 1396316212
  NPD
• Capital Area Human Services District

  • Recovery Care Clinic/Center
  • Clinton, LA
  • NPI 1043585920
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023239373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "SUITE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014443",
            "telephone_number": "318-848-2810",
            "fax_number": "318-848-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "SUITE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014443",
            "telephone_number": "318-848-2810",
            "fax_number": "318-848-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "STEPHANIE",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "022552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1493791",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrica Henry
• Travis O'Neal Henry Jr., D.D.S.
• Whitney Freeland Hensgens
• Heidi Elaine Henson
• Lachard Arta' Henson
• Her Wellness, LLC
• Erandi Madushani Herath, MD
• Chelsea Herion, DPT
• Heritage Manor Stratmore Nursing & Rehabilitation Center LLC
• Heritage Manor West LLC

• Pediatrics Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Pediatrics Physician in Louisiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.