Brittany Henderson

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5009789 Issued in NC

Practice address

1647 NE Ashley School Cir
Winston Salem, NC 27105-5444

Phone

(336) 713-7188

NPI assigned

Aug 18, 2017

Last updated

Mar 17, 2018By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215453543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E SECOND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 NE ASHLEY SCHOOL CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271055444",
            "telephone_number": "336-713-7188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4555 Ogburn Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271052726",
            "country_code": "US",
            "telephone_number": "336-713-7188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5009789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Hembree
• Joshua Lee Hemric, PA-C
• David Henao, M.D.
• Paula A Henao, DDS
• Andrew Scott Henderson, PA-C
• Emily Kaitlin Henderson
• Jeffrey Harris Henderson, M.D.
• Kamal Hanee Henderson, MD
• Katherine Beier Henderson
• Leah A Henderson, NA I, COTA/L

• Pediatric Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.