Individual provider Active NPI

Artangela Demetria Henry, DNP, FNP-C

  • Adult Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1043455561
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
14169 Issued in TN
Practice address
1325 Eastmoreland Ave
Suite 101
Memphis, TN 38104-3519
Phone
(901) 516-8785
Fax
(901) 516-8358
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14169 TN
Adult Health Nurse Practitioner 363LA2200X 14169 TN Primary

Addresses

Primary practice location

1325 Eastmoreland Ave
Suite 101
Memphis, TN 38104-3519

Mailing address

P O Box 75947
Charlotte, NC 28275
Phone (901) 516-8785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090617000608 TN Practitioner - Nurse Practitioner 4981754694 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14169TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare Community Care Associates Current Accepting new patients
Methodist Healthcare - Memphis Hospitals CurrentSince Nov 21, 2016 Accepting new patients
Methodist Healthcare - Memphis Hospitals CurrentSince Nov 21, 2016 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Oct 12, 2020 Accepting new patients
Methodist Healthcare - Memphis Hospitals Current Accepting new patients

Locations

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

1325 Eastmoreland Ave
Ste 101
Memphis, TN 38104
Phone (901) 261-3500

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

Interoperability endpoints

  • Direct secure messaging: ahenry22256@mlh.direct-ci.com

Organizations & group practices 5

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": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1043455561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 75947",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28275",
            "telephone_number": "901-516-8785",
            "fax_number": "901-516-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043519",
            "telephone_number": "901-516-8785",
            "fax_number": "901-516-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ARTANGELA",
        "middle_name": "DEMETRIA",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14169",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "14169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.