Berdette Henry, M.S.

Primary specialty

SpecialistTaxonomy code 174400000X

License

503459111 Issued in NY

Practice address

129 Lafayette Ave
#2B
Brooklyn, NY 11217-1663

Phone

(646) 528-3159

NPI assigned

Jun 20, 2012

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 names 1

• Ms. Berdette Henry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1205199577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 LAFAYETTE AVE",
            "address_2": "#2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171663",
            "telephone_number": "646-528-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 LAFAYETTE AVE",
            "address_2": "#2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171663",
            "telephone_number": "646-528-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "BERDETTE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "503459111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERDETTE",
            "last_name": "HENRY",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon A Henry-Wright, MSED
• Alicia Allana Henry, NP
• Alisha Danita Henry, RN
• Astra E Henry, OTR/L
• Avien Henry
• Brittany Henry
• Briyana Henry
• Caitlin Henry, MD
• Clover Henry
• Courtney Henry

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.