Individual provider Active NPI

Kayla Renee Henson, ARNP

  • Primary Care Nurse Practitioner
  • Benton, KY
National Provider Identifier
1164600466
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5503P Issued in KY
Practice address
83 Wellness Way
Benton, KY 42025-7156
Phone
(270) 527-8601
Fax
(270) 527-9645
NPI assigned
Feb 8, 2008
Last updated
Feb 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5503P KY Primary

Addresses

Primary practice location

83 Wellness Way
Benton, KY 42025-7156

Mailing address

83 Wellness Way
Benton, KY 42025-7156
Phone (270) 527-8601

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
I20081007000585 KY Practitioner - Nurse Practitioner 4587732318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
James Kyle Turnbo MD PSCGroup PAC ID 1557519600, 6 clinicians

Practice addresses (Care Compare)

2331 New Holt Rd
Paducah, KY 42001-7404
Phone (270) 441-4777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5503PKYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James Kyle Turnbo M.D. PSC CurrentSince Jan 3, 2020 Accepting new patients
West End Imaging, PLLC CurrentSince May 16, 2021 Accepting new patients
Healthworks Medical, LLC PastSince Jul 9, 2023 Accepting new patients

Locations

2331 New Holt Rd
Paducah, KY 42001
Phone (270) 441-4777

546 Lone Oak Rd
Paducah, KY 42003
Phone (270) 441-4777

Interoperability endpoints

  • Direct secure messaging: kayla.henson@jktmp.eclinicaldirectplus.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 1

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": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1164600466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 WELLNESS WAY",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257156",
            "telephone_number": "270-527-8601",
            "fax_number": "270-527-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 WELLNESS WAY",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420257156",
            "telephone_number": "270-527-8601",
            "fax_number": "270-527-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "KAYLA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "5503P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

Verify at the official NPI Registry.