Brittany Leigh Henry, FNP
Individual provider Active NPI Family Nurse Practitioner · Carrizozo, NM
NPI 1114545142 · NPPES record last updated Jul 7, 2020
Key facts
- NPI
- 1114545142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 60519 (NM)
- Practice address
- 710 Avenue E
Carrizozo, NM 88301 - Phone
- (575) 648-2317
- NPI assigned
- Jul 7, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220216000457 | TX | Practitioner - Nurse Practitioner | 7416374574 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 60519 | NM | Yes |
Addresses
Primary practice location
710 Avenue E
Carrizozo, NM 88301
Mailing address
421 White Mountain Meadows Dr
Ruidoso, NM 88345-5814
Phone (903) 341-0477
Other providers in Carrizozo, NM
- Shimer S Carden
- Caroline Suzanne Ellis
- Jamie D Goad
- Melinda Hall Hacker
- Helping Hands of Lincoln County, Inc.
- Meoshi Hicks
- New Horizons Casa Linda
- New Horizons Developmental Ctr Inc
- Presbyterian Healthcare Services
All providers in Carrizozo, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.