Individual provider Active NPI

April Simone Tyrrell-Henderson, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1225854250
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1179434 Issued in TX
Practice address
3535 Canyon LN
Beaumont, TX 77713-4206
Phone
(409) 504-5803
NPI assigned
Nov 25, 2024
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1179434 TX Primary

Addresses

Primary practice location

3535 Canyon LN
Beaumont, TX 77713-4206

Mailing address

3535 Canyon LN
Beaumont, TX 77713-4206
Phone (409) 504-5803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514001484 TX Practitioner - Nurse Practitioner 6204354251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

5860 9TH Ave
Suite 7
Port Arthur, TX 77642-6010
Phone (409) 212-6075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1179434TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Network CurrentSince May 1, 2025 Accepting new patients

Locations

3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

810 Hospital Dr
Ste 100
Beaumont, TX 77701
Phone (409) 212-5933

5860 9th Ave
Ste 7
Port Arthur, TX 77642
Phone (409) 212-6075

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1225854250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 CANYON LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777134206",
            "telephone_number": "409-504-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 CANYON LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777134206",
            "telephone_number": "409-504-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRRELL-HENDERSON",
        "first_name": "APRIL",
        "middle_name": "SIMONE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1179434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.