Active NPI
Tanairah Henderson
- Licensed Practical Nurse
- Bethlehem, PA
National Provider Identifier
1023538832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN298562
- Practice address
- 1145 Arcadia St
Bethlehem, PA 18018-3001 - Phone
- (201) 640-2381
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN298562 | PA | Primary |
Addresses
Primary practice location
1145 Arcadia St
Bethlehem, PA 18018-3001
Mailing address
1145 Arcadia St
Bethlehem, PA 18018-3001
Phone (201) 640-2381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN298562 | PA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1023538832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 ARCADIA ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180183001",
"telephone_number": "201-640-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 ARCADIA ST",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180183001",
"telephone_number": "201-640-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "TANAIRAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN298562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.