Active NPI
Jannell Francine Henderson, MD
- Diagnostic Radiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A78011
- Practice address
- 3600 Minnesota Dr Ste 800
Edina, MN 55435-7915 - Phone
- (952) 595-1301
- Fax
- (612) 294-4903
- NPI assigned
- Aug 2, 2005
- Last updated
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD.202750 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | A78011 | CA | Primary |
Addresses
Primary practice location
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Mailing address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301
Other names 1
- Jannell Francine Manalo Diaz-Horsley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10263 Winecreek CT
San Diego, CA 92127-3728
Phone (952) 595-1100
3637 Kingsley St
San Diego, CA 92106-1107
Phone (315) 234-7600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A78011 | CA | MD | Diagnostic Radiology Physician |
| MD.202750 | LA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| Crouse Radiology Associates LLP | Diagnostic Radiology | Current | Accepting new patients |
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Berkshire Medical Imaging, PC | Diagnostic Radiology | Current | Accepting new patients |
| Pontchartrain Diagnostic Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Virtual Radiologic Professionals of California, P.a | Diagnostic Radiology | Current | Accepting new patients |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Computerized Diagnostic Imaging Center | Past | Accepting new patients | |
| Hawthorne Radiology Associates Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| Universal Radiology Consultants PC | Diagnostic Radiology | Past | Accepting new patients |
| Riverside Radiology Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Alameda Health System | Past | Accepting new patients | |
| Corwin Medical Group Inc Ipa | Past | Accepting new patients |
Locations
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
10 Little Brook Rd
West Wareham, MA 02576
11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143
3600 Minnesota Dr
Ste 800
Minneapolis, MN 55435
Phone (612) 595-1100
Organizations & group practices 16
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.
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1881792166
CA
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Diagnostic Radiology Physician
- Pittsfield, MA
- NPI 1588778807
CA
-
dba Cambridge Health Alliance
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
CA
-
dba Heywood Hospital
- Psychiatric Hospital Unit
- Gardner, MA
- NPI 1457685299
CA
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1417050956
-
dba Tulane University Medical Group
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Specialist
- San Bernardino, CA
- NPI 1356532642
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
dba Merrimack Health Lawrence Hospital
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1225039167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR STE 800",
"city": "EDINA",
"state": "MN",
"postal_code": "554357915",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR STE 800",
"city": "EDINA",
"state": "MN",
"postal_code": "554357915",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JANNELL",
"middle_name": "FRANCINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "MD.202750",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A78011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANNELL FRANCINE",
"last_name": "DIAZ-HORSLEY",
"middle_name": "MANALO",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.