Simone Faith Henderson, COSMETOLOGIST

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

1201134889 Issued in VA

Practice address

11112 Hull Street Rd
Midlothian, VA 23112-3204

Phone

(917) 834-1857

NPI assigned

Nov 7, 2019

Last updated

Nov 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Simone Faith West Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hair Art Nyc Inc

  dba Hair Art 2 Go inc

  • Prosthetic/Orthotic Supplier
  • Midlothian, VA
  • NPI 1760255814
  NPD Authorized official

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1215572763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4552",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231120010",
            "telephone_number": "917-834-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11112 HULL STREET RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123204",
            "telephone_number": "917-834-1857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15910 Hillside Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114323936",
            "country_code": "US",
            "telephone_number": "347-561-9311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SIMONE",
        "middle_name": "FAITH",
        "credential": "COSMETOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NY",
            "license": "22WE1157758",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "VA",
            "license": "1201134889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMONE",
            "last_name": "WEST",
            "middle_name": "FAITH",
            "credential": "COSMETOLOGIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carlton Jermaine Henderson, PH.D.
• Clifford E. Henderson, M.D.
• Edward Money Henderson, DO
• Kasey Henderson, DPT
• Sheniqua Henderson
• Wendy Jean Hendrick, FNP-BC
• Glenna P. Hendricks, M.D.
• Taylor Morgan Hendrieth, LCSW
• Leslie Henry, LPTA
• Collin McNamara Hensien

• Personal Care Attendant in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Personal Care Attendant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.