Shannon Kendra Henry, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024179769 Issued in VA

Practice address

1009 Hillpoint Boulevard, South
Suffolk, VA 23434

Phone

(757) 668-2250

Fax

(757) 668-2255

NPI assigned

Aug 10, 2020

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

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

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.

• Children's Medical Group, Inc., D/B/a Liberty Pediatrics

  • Pediatrics Physician
  • Newport News, VA
  • NPI 1386652824
  NPD (past)
• Childrens Medical Group Inc

  dba Newport News Pediatrics

  • Pediatrics Physician
  • Newport News, VA
  • NPI 1033264767
  NPD (past)
• Childrens Medical Group Inc

  dba Pediatric Specialists

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1104971548
  NPD (past)
• Childrens Medical Group Inc

  dba General Booth Pediatrics

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1366597114
  NPD (past)
• Childrens Medical Group Inc

  dba Chesapeake Pediatrics

  • Pediatrics Physician
  • Chesapeake, VA
  • NPI 1538214309
  NPD (past)
• Childrens Medical Group Inc

  dba Tidewater Children's Associates

  • Pediatrics Physician
  • Norfolk, VA
  • NPI 1538214713
  NPD (past)
• Childrens Medical Group Inc

  dba Suffolk Pediatrics

  • Pediatrics Physician
  • Suffolk, VA
  • NPI 1790830487
  NPD (past)

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1225649742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CHILDRENS LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071971",
            "telephone_number": "757-668-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 HILLPOINT BOULEVARD, SOUTH",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "23434",
            "telephone_number": "757-668-2250",
            "fax_number": "757-668-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Concert Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234568083",
            "country_code": "US",
            "telephone_number": "757-668-4980",
            "fax_number": "757-668-4989",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Kingsley Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235054629",
            "country_code": "US",
            "telephone_number": "757-489-3551",
            "fax_number": "757-489-0413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Kingsborough Sq Ste 301",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205055",
            "country_code": "US",
            "telephone_number": "757-436-1770",
            "fax_number": "757-436-4303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Granby St Ste A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235172349",
            "country_code": "US",
            "telephone_number": "757-640-0022",
            "fax_number": "757-627-8064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1529 International Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235134802",
            "country_code": "US",
            "telephone_number": "757-855-6800",
            "fax_number": "757-855-7771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11760 Rock Landing Dr",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064204",
            "country_code": "US",
            "telephone_number": "757-668-6300",
            "fax_number": "757-668-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Commercial Ln Ste 220",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348149",
            "country_code": "US",
            "telephone_number": "757-668-2600",
            "fax_number": "757-668-2620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12705 McManus Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024459",
            "country_code": "US",
            "telephone_number": "757-668-4800",
            "fax_number": "757-668-4828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1128 Independence Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234555555",
            "country_code": "US",
            "telephone_number": "757-499-7442",
            "fax_number": "757-490-3638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8264 George Washington Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230614127",
            "country_code": "US",
            "telephone_number": "804-695-0305",
            "fax_number": "804-695-0804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Innovation Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203869",
            "country_code": "US",
            "telephone_number": "757-668-2650",
            "fax_number": "757-668-2655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1181 First Colonial Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542437",
            "country_code": "US",
            "telephone_number": "757-668-4600",
            "fax_number": "757-668-4605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 Bud Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233227931",
            "country_code": "US",
            "telephone_number": "757-312-9220",
            "fax_number": "757-312-8225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "171 Kempsville Rd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024732",
            "country_code": "US",
            "telephone_number": "757-668-6500",
            "fax_number": "757-668-6505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5835 Harbour View Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234352601",
            "country_code": "US",
            "telephone_number": "757-668-6050",
            "fax_number": "757-668-6055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2088 Princess Anne Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234564014",
            "country_code": "US",
            "telephone_number": "757-668-6700",
            "fax_number": "757-668-6680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Concert Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234568083",
            "country_code": "US",
            "telephone_number": "757-668-6700",
            "fax_number": "757-668-2855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Fox Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236691758",
            "country_code": "US",
            "telephone_number": "757-668-2200",
            "fax_number": "757-668-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 Kempsville Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023800",
            "country_code": "US",
            "telephone_number": "757-461-6342",
            "fax_number": "757-461-8507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Bulifants Blvd",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885747",
            "country_code": "US",
            "telephone_number": "757-564-7337",
            "fax_number": "757-564-3205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6161 Kempsville Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023932",
            "country_code": "US",
            "telephone_number": "757-668-4980",
            "fax_number": "757-668-4988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "656 Independence Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205213",
            "country_code": "US",
            "telephone_number": "757-668-5126",
            "fax_number": "757-410-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Discovery Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233203871",
            "country_code": "US",
            "telephone_number": "757-668-2500",
            "fax_number": "757-668-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1124 Battlefield Blvd S",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233226603",
            "country_code": "US",
            "telephone_number": "757-668-2500",
            "fax_number": "757-668-2580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SHANNON",
        "middle_name": "KENDRA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024179769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Lyn Hendren, MA, BCBA, LBA
• Hendrix Eye Care PLLC
• Lois Hendrix, O.D.
• James Hugh Henick, M.D.
• Andrea Leigh Henry, LPC
• Marsha Cicely Hentz, MPT
• Albert Herdeg
• Here2There LLC
• Heriford and Heriford, DDS, PC
• Susan E Heriford, DDS

• Pediatric Nurse Practitioner in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.