Individual provider Active NPI

Dinah E Henderson, APRN

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1124113444
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9348206 Issued in FL
Practice address
170 N Lime Ave
Sarasota, FL 34237-6122
Phone
(941) 867-0127
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9348206 FL Primary

Addresses

Primary practice location

170 N Lime Ave
Sarasota, FL 34237-6122

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other practice location 1

13940 N US Highway 441 Ste 102
Lady Lake, FL 32159-8909
Phone (352) 751-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20220802000804 FL Practitioner - Nurse Practitioner 4284631714 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9348206FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allcare Medical Centers, P. C. CurrentSince Mar 2, 2026 Accepting new patients
MCR Health, Inc. CurrentSince Sep 19, 2023 Accepting new patients
MCR Health, Inc. Family CurrentSince Sep 19, 2023 Accepting new patients

Locations

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

5860 Ranch Lake Blvd
Ste 200
Lakewood Ranch, FL 34202
Phone (941) 202-3888

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0127

6305 Initiative Blvd
Sarasota, FL 34240
Phone (941) 200-6020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26589/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1124113444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N LIME AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376122",
            "telephone_number": "941-867-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13940 N US Highway 441 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321598909",
            "country_code": "US",
            "telephone_number": "352-751-9900",
            "fax_number": "844-388-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DINAH",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9348206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.