Individual provider Active NPI

Lura Marie Henderson, ARNP, MSN, AOCNP

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1164756144
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9246839 Issued in FL
Practice address
4910 N Armenia Ave
Tampa, FL 33603-1402
Phone
(813) 876-0035
NPI assigned
Sep 24, 2009
Last updated
Dec 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9246839 FL Primary
Oncology Registered Nurse 163WX0200X 9246839 FL

Addresses

Primary practice location

4910 N Armenia Ave
Tampa, FL 33603-1402

Mailing address

4910 N Armenia Ave
Tampa, FL 33603-1402
Phone (813) 876-0035

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)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
9246839FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1164756144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031402",
            "telephone_number": "813-876-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 N ARMENIA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336031402",
            "telephone_number": "813-876-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LURA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ARNP, MSN, AOCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9246839",
            "primary": true
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "FL",
            "license": "9246839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.