Ola Merle Henson, CFNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN06613 Issued in TN

Practice address

622 Wilson Ave
Tullahoma, TN 37388-3265

Phone

(931) 393-2362

Fax

(931) 393-3212

NPI assigned

Nov 9, 2005

Last updated

Jan 14, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Henson's Family Medical LLC

  • Family Nurse Practitioner
  • Tullahoma, TN
  • NPI 1386875987
  NPD
• Tennessee Pain Management and Rehabilitation PC

  dba Tennessee Pain Management & Rehab Center, PC

  • Interventional Pain Medicine Physician
  • Decherd, TN
  • NPI 1437459047
  NPD

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1154302958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883265",
            "telephone_number": "931-393-2362",
            "fax_number": "931-393-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883265",
            "telephone_number": "931-393-2362",
            "fax_number": "931-393-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "OLA",
        "middle_name": "MERLE",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN06613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3909621",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Anne Hastings, LMSW
• Lisa A. Hatfield, PT
• Carrie Hawk, BS
• Hearwell, LLC
• Jerry Lucas Hendrix, P.T.
• Henson's Family Medical LLC
• Jessica Hice
• Kellie Hickerson, B.S.W.
• Kay Watson Hickey, M.A.
• Highland Rim Anesthesia, P.C.

• Nurse Practitioner in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.