Active NPI
Kerry Lee Romans Henderson, L.M.P.
- Specialist
- Burlington, WA
National Provider Identifier
1184875718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00013381
- Practice address
- 325 E George Hopper Rd Ste 106
Burlington, WA 98233-3154 - Phone
- (360) 707-2300
- NPI assigned
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA00013381 | WA | Primary |
Addresses
Primary practice location
325 E George Hopper Rd Ste 106
Burlington, WA 98233-3154
Mailing address
325 E George Hopper Rd Ste 106
Burlington, WA 98233-3154
Phone (360) 707-2300
Other names 1
- Mrs. Kerry Lee Henderson
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00013381 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Soul | Specialist | Past | Accepting new patients |
| Bella Soul Massagetherapy and Spa Inc. | Specialist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Burlington, WA
- NPI 1568706208
-
- Specialist
- Burlington, WA
- NPI 1215242599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1184875718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 E GEORGE HOPPER RD STE 106",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982333154",
"telephone_number": "360-707-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E GEORGE HOPPER RD STE 106",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982333154",
"telephone_number": "360-707-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANS HENDERSON",
"first_name": "KERRY",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-01",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00013381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KERRY",
"last_name": "HENDERSON",
"middle_name": "LEE",
"prefix": "MRS.",
"credential": "LMP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Burlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.