Amanda Henderson, MBA

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

901 NW 8TH Ave Ste B5-1
Gainesville, FL 32601-5011

Phone

(352) 219-1661

NPI assigned

Feb 7, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

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 and National Provider Directory roles.

• Pretty Lace Collection, LLC

  • Prosthetics Case Management
  • Gainesville, FL
  • NPI 1184381691
  NPD Authorized official
• Protecting Angels LLC

  • In Home Supportive Care Agency
  • Gainesville, FL
  • NPI 1750051314
  NPD Authorized official
• Protecting Angels Transportation

  • Non-emergency Medical Transport (VAN)
  • Gainesville, FL
  • NPI 1164245700
  NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1205580586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25130 NW 9TH LN",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693537",
            "telephone_number": "352-219-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW 8TH AVE STE B5-1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015011",
            "telephone_number": "352-219-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "AMANDA",
        "credential": "MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Hemly, ATC, CPT
• Gabriel Jaime Henao, CPO
• Nasyra Henao, PTA
• Leslie Hendeles, PHARM.D.
• Henderson Chiropractic Center
• Andrece Henderson
• Brandi Henderson, BCBA
• Douglas Stuart Henderson, DC
• Elizabeth Burford Henderson, PA-C
• Heather Henderson

• Prosthetics Case Management in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.