Individual provider Active NPI

Alicia Cheryl Henning, APRN

  • Family Nurse Practitioner
  • Hardinsburg, KY
National Provider Identifier
1134513559
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009249 Issued in KY
Practice address
124 W 3Rd St
Hardinsburg, KY 40143-2624
Phone
(270) 580-4050
Fax
(270) 266-4200
NPI assigned
Mar 24, 2015
Last updated
Jun 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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 3009249 KY Primary

Addresses

Primary practice location

124 W 3Rd St
Hardinsburg, KY 40143-2624

Mailing address

124 W 3Rd St Ste 2000
Hardinsburg, KY 40143-2624
Phone (270) 580-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20150615001977 KY Practitioner - Nurse Practitioner 8729399951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henning Family Practice, LLCGroup PAC ID 2466845268, 2 clinicians

Practice addresses (Care Compare)

124 W 3Rd St
Hardinsburg, KY 40143-2624
Phone (270) 580-4050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009249KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henning Family Practice, LLC CurrentSince Oct 22, 2021 Accepting new patients
Ack Healthcare Management LLC Past Accepting new patients

Locations

124 W 3rd St
Hardinsburg, KY 40143
Phone (270) 580-4050

124 W 3rd St
Ste 2000
Hardinsburg, KY 40143

Interoperability endpoints

  • Direct secure messaging: alicia.henning@384845251674116.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1134513559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W 3RD ST STE 2000",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401432624",
            "telephone_number": "270-580-4050",
            "fax_number": "270-266-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W 3RD ST",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401432624",
            "telephone_number": "270-580-4050",
            "fax_number": "270-266-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNING",
        "first_name": "ALICIA",
        "middle_name": "CHERYL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardinsburg, KY

Sources for this page

Verify at the official NPI Registry.