Tamara Henderson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704312000 Issued in MI

Practice address

G3494 Beecher Rd
Flint, MI 48532-2735

Phone

(810) 309-9734

NPI assigned

Apr 2, 2019

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 MI

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

Practice roles

Locations

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.

• Ih Physician Services PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Clinton Township, MI
  • NPI 1881432060
  Medicare reassignment NPD
• Michigan Family Medicine and Urgent Care

  • Family Medicine Physician
  • Dewitt, MI
  • NPI 1497225403
  Medicare reassignment NPD
• Ih Physician Services, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Knoxville, TN
  • NPI 1770469389
  NPD

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1114489879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3494 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322735",
            "telephone_number": "810-309-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3494 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322735",
            "telephone_number": "810-309-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704312000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia M Heine
• Heinrich Enterprises, Inc.
• Michele Hellinger, LMT
• Amanda Jean Helms
• Nanette M Hembrough, CRNA
• Tawana Henderson
• Josh Hendrick
• Kathleen Mary Hendricks, LMSW
• Sarah Marie Hendricks
• Carson Drew Hendrickson

• Family Nurse Practitioner in Flint, MI
• Providers in Flint, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.