Active NPI
Leyla M Henderson
- Infusion Therapy Registered Nurse
- Laurel, MD
National Provider Identifier
1033605753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- R221590
- Practice address
- 14502 Greenview Dr Ste 360
Laurel, MD 20708-4232 - Phone
- (240) 720-7197
- NPI assigned
- Jul 5, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1014471 | DC | |
| Infusion Therapy Registered Nurse | 163WI0500X | R221590 | MD | Primary |
Addresses
Primary practice location
14502 Greenview Dr Ste 360
Laurel, MD 20708-4232
Mailing address
14502 Greenview Dr Ste 360
Laurel, MD 20708-4232
Phone (240) 720-7197
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 |
|---|---|---|---|
| RN1014471 | DC | MD | Registered Nurse |
| R221590 | MD | MD | Infusion Therapy Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Infusions Inc | Single Specialty | Current | Accepting new patients |
Locations
14502 Greenview Dr
Ste 360
Laurel, MD 20708
Phone (240) 200-4464
Organizations & group practices 1
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": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1033605753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14502 GREENVIEW DR STE 360",
"city": "LAUREL",
"state": "MD",
"postal_code": "207084232",
"telephone_number": "240-720-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 GREENVIEW DR STE 360",
"city": "LAUREL",
"state": "MD",
"postal_code": "207084232",
"telephone_number": "240-720-7197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "LEYLA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1014471",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": "MD",
"license": "R221590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.