Sherese Henderson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703127401 Issued in MI

Practice address

16481 Bowman St
Roseville, MI 48066-3718

Phone

(586) 340-9817

NPI assigned

May 7, 2022

Last updated

Nov 26, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1114663796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16481 BOWMAN ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663718",
            "telephone_number": "586-340-9817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16481 BOWMAN ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663718",
            "telephone_number": "586-340-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SHERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-07",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703127401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Place Home Care LLC @Gmail.Com
• Heart Rhythm and Pacemaker Specialist PLLC
• Hearts of Gold Home Care LLC
• Alex Michael Heffner, PT, DPT
• Heather Lynn Henderson, DO
• Henry Ford Continuing Care Corp
• Alyssa S Herrmann, MD
• Lateisha Denise Hervey
• Taylor Jo Hess, DO
• Sereene Hijazi, PHARMD

• Licensed Practical Nurse in Roseville, MI
• Providers in Roseville, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.