Tuesday Nicole Hennessy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0002923 Issued in CO

Practice address

4804 N Chambers Rd
Denver, CO 80239

Phone

(303) 576-6655

Fax

(303) 576-8131

NPI assigned

Jul 12, 2012

Last updated

Nov 13, 2015By 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

Other identifiers 1

Other names 1

• Ms. Tuesday Nicole Warner Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foothills Vision Center, PCGroup PAC ID 9234122219, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Foothills Vision Center, PC

  dba Foothills Vision Center

  • Optometrist
  • Lakewood, CO
  • NPI 1790996379
  Medicare reassignment Care Compare group NPD
• Oneopto Co 1 PLLC

  dba Eye to Eye Care

  • Optometrist
  • Highlands Ranch, CO
  • NPI 1174473003
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1154686301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 N CHAMBERS",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80239",
            "telephone_number": "303-576-6655",
            "fax_number": "303-576-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 N CHAMBERS RD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80239",
            "telephone_number": "303-576-6655",
            "fax_number": "303-576-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "TUESDAY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0002923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51428717",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUESDAY",
            "last_name": "WARNER",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aimee Henley, PH.D.
• Sara Henley, RD
• Patrick Andrew Henn, MD
• Dawn Amie Hennen, RN
• Callah Marie Hennessey, MA, LPCC
• Christina Celeste Henning, LMT
• Reese Henning
• Peggy Henninger, PHD
• Sara Henninger, MA
• Sarah Elizabeth Louise Henrich, RN

• Optometrist in Denver, CO
• Providers in Denver, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.