Individual provider Active NPI

Alexis Marie Henshilwood, N/A

  • Homemaker
  • Salt Lake City, UT
National Provider Identifier
1043949373
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Practice address
2486 S Douglas St
Salt Lake City, UT 84106-3185
Phone
(385) 427-4030
NPI assigned
Jun 10, 2022
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X NU Primary
Community Health Worker 172V00000X NU

Addresses

Primary practice location

2486 S Douglas St
Salt Lake City, UT 84106-3185

Mailing address

628 N 1360 W
Clearfield, UT 84015-6501
Phone (385) 427-4030

Other practice location 1

934 S Main St
Layton, UT 84041-7135
Phone (801) 336-1845

Other identifiers 1

IdentifierTypeStateIssuer
222410268OtherUTDRIVERS LICENSE

Other names 1

  • N/a N/a N/a Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 385-427-4030 Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1043949373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 N 1360 W",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840156501",
            "telephone_number": "385-427-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2486 S DOUGLAS ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063185",
            "telephone_number": "385-427-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 S Main St",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840417135",
            "country_code": "US",
            "telephone_number": "801-336-1845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSHILWOOD",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "credential": "N/A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "222410268",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "385-427-4030",
            "affiliation": "N",
            "endpointDescription": "PHONE NUMBER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ADDRESS",
            "address_1": "2486 S Douglas St",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841063185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "N/A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.