Individual provider Active NPI

Christine A Henderson, NP-C

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1023582475
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4704295952 Issued in MI
Practice address
170 Saint Andrews Rd
Saginaw, MI 48638-5938
Phone
(810) 705-3147
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4704295952 MI Primary

Addresses

Primary practice location

170 Saint Andrews Rd
Saginaw, MI 48638-5938

Mailing address

601 Somerset Rd
Saginaw, MI 48638-6221
Phone (989) 670-5833

Other practice location 1

4675 Hill St Ste A
Cass City, MI 48726-1008
Phone (989) 912-6114

Other practice location 2

1514 W Caro Rd
Caro, MI 48723-9260
Phone (989) 672-1399

Other practice location 3

1048 E Caro Rd Ste B
Caro, MI 48723-1204
Phone (989) 912-6532

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address chenderson52078@direct.covenanthealthcare.com
Direct Messaging Address chenderson52078@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190322000321 MI Practitioner - Nurse Practitioner 5092055426 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hills & Dales General Hospital, Inc. Family Medicine CurrentSince Mar 1, 2019 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Mar 1, 2019 Accepting new patients

Locations

1048 E Caro Rd
Ste B
Caro, MI 48723
Phone (989) 912-6532

1514 W Caro Rd
Caro, MI 48723
Phone (989) 583-4700

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

4675 Hill St
Ste A
Cass City, MI 48726
Phone (989) 872-8202

Interoperability endpoints

  • Direct secure messaging: chenderson52078@direct.covenanthealthcare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1023582475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SOMERSET RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386221",
            "telephone_number": "989-670-5833",
            "fax_number": "989-672-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SAINT ANDREWS RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385938",
            "telephone_number": "810-705-3147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4675 Hill St Ste A",
            "address_purpose": "LOCATION",
            "city": "Cass City",
            "state": "MI",
            "postal_code": "487261008",
            "country_code": "US",
            "telephone_number": "989-912-6114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 W Caro Rd",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487239260",
            "country_code": "US",
            "telephone_number": "989-672-1399",
            "fax_number": "989-672-1393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1048 E Caro Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231204",
            "country_code": "US",
            "telephone_number": "989-912-6532",
            "fax_number": "989-912-6014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704295952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chenderson52078@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "1514 W Caro Rd",
            "city": "Caro",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487239260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chenderson52078@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "4675 Hill St",
            "city": "Cass City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487261099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.