Jeffrey Alan Henneman

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

NUR-RN-LIC-177672 Issued in MT

Practice address

4570 Palisade Dr Apt 10209
Bozeman, MT 59718-2092

Phone

(909) 319-9559

NPI assigned

Sep 21, 2026

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1205748753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 PALISADE DR APT 10209",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182092",
            "telephone_number": "909-319-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 PALISADE DR APT 10209",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182092",
            "telephone_number": "909-319-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEMAN",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "NUR-RN-LIC-177672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Helton III, AU.D.
• Shawn Helvey, LCPC
• Crystal Laree Henderson, NP-C
• Nathan Henderson, DPT
• Michelle Hendric
• Kristie Ann Hennen
• Amelia Elizabeth Hennessy
• Julie S Henningsen, PA-C
• Blair Hensen, LCPC
• Jack Hensold, MD

• Registered Nurse in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Registered Nurse in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.