Individual provider Active NPI

Brenda Danielle Henson

  • Medical-Surgical Registered Nurse
  • Shenandoah, TX
National Provider Identifier
1073116497
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
872502 Issued in TX
Practice address
17201 I 45 S
Shenandoah, TX 77385-3311
Phone
(936) 270-2000
NPI assigned
Nov 18, 2020
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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 907728 MS
Medical-Surgical Registered Nurse 163WM0705X 872502 TX Primary

Addresses

Primary practice location

17201 I 45 S
Shenandoah, TX 77385-3311

Mailing address

21915 Colter Stone Dr
Spring, TX 77388-6935
Phone (713) 906-4349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI, UT, MS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210427001041 TX Practitioner - Nurse Practitioner 8022426311 Reassigns benefits to 1 organization
I20230418000236 MI Practitioner - Nurse Practitioner 8022426311 Reassigns benefits to 1 organization
I20230628002891 UT Practitioner - Nurse Practitioner 8022426311 Reassigns benefits to 1 organization
I20250910003771 MS Practitioner - Nurse Practitioner 8022426311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

814 Ciderhouse Crest LN
Richmond, TX 77406-2276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
872502TXMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Apr 26, 2021 Accepting new patients
Molina Healthcare of Utah Inc Family CurrentSince Jun 16, 2023 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

188 E Capitol St
Ste 700
Jackson, MS 39201
Phone (844) 809-8438

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265

7050 S Union Park Ave
Ste 200
Midvale, UT 84047
Phone (562) 549-3966

Interoperability endpoints

  • Direct secure messaging: bhenson12437@direct-prd.molinahealthcare.com
  • FHIR API: https://epicproxy.et1057.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1073116497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21915 COLTER STONE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773886935",
            "telephone_number": "713-906-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17201 I 45 S",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853311",
            "telephone_number": "936-270-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "BRENDA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907728",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "872502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.