Individual provider Active NPI

Rosemarie J Henry, MED-ASS/CNA/HHA

  • Licensed Psychiatric Technician
  • West Palm Beach, FL
National Provider Identifier
1144519919
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Psychiatric TechnicianTaxonomy code 167G00000X
License
2345 Issued in FL
Practice address
4540 Portofino Way Apt 203
West Palm Beach, FL 33409-8105
Phone
(561) 713-4533
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X 2345 FL Primary

Addresses

Primary practice location

4540 Portofino Way Apt 203
West Palm Beach, FL 33409-8105

Mailing address

4540 Portofino Way Apt 203
West Palm Beach, FL 33409-8105
Phone (561) 713-4533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2345FLMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1144519919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 PORTOFINO WAY APT 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098105",
            "telephone_number": "561-713-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 PORTOFINO WAY APT 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098105",
            "telephone_number": "561-713-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ROSEMARIE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MED-ASS/CNA/HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "FL",
            "license": "2345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.