Dawn Marie Henry

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2020038956 Issued in MO

Practice address

3925 County Road 3190
Mountain View, MO 65548-8261

Phone

(417) 247-1636

NPI assigned

Nov 25, 2020

Last updated

Nov 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Willow Health Care Inc

  dba Brooke Haven Health Care

  • Skilled Nursing Facility
  • West Plains, MO
  • NPI 1306847108
  NPD (past)

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1033713482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 COUNTY ROAD 3190",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655488261",
            "telephone_number": "417-247-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 COUNTY ROAD 3190",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655488261",
            "telephone_number": "417-247-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2020038956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly J. Denton, FNP-C
• Don Andrew Dodd, DPT
• Julie Denise Dunn, LPC
• Michael K. Gaddy, PA-C
• Kendra L Harralston, APRN
• Pearl Ann Hunter, FNP
• Katie Johnston
• Anne Kennedy, RPH
• Emily Carol Lovan, FNP
• Joseph Aaron Marino, MD

• Adult Health Nurse Practitioner in Mountain View, MO
• Providers in Mountain View, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.