Kevin Joseph Henry, ATC, MSED, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

001693 Issued in NY

Practice address

1 Webster Ave Ste 400
Poughkeepsie, NY 12601-1363

Phone

(845) 454-8377

NPI assigned

Nov 7, 2011

Last updated

Nov 7, 2011By the provider in NPPES

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1033496906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PEMBROKE CIR APT D",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125905649",
            "telephone_number": "845-594-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE STE 400",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011363",
            "telephone_number": "845-454-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "credential": "ATC, MSED, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Hendriksen, LMSW
• Elizabeth Henne, R.N.
• Amanda Hennessy, MHC-LP
• Shanalee Henry Gordon
• Carrie Henry, LPN
• Suzanne Henry, CRNA
• Jacob I Hentel, MD
• Diane M Herbert
• Camilla Herbin, DO
• Heritage Medical Services PLLC

• Athletic Trainer in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.