Patti Moore Henry, ARNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5010553 Issued in NC

Practice address

902 Kirkwood Ave NW
Lenoir, NC 28645

Phone

(828) 754-0101

Fax

(828) 757-0402

NPI assigned

Apr 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Caldwell Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Lenoir, NC
  • NPI 1386931566
  NPD (past)

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1235524570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 KIRKWOOD AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455121",
            "telephone_number": "828-754-0101",
            "fax_number": "828-757-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 KIRKWOOD AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-754-0101",
            "fax_number": "828-757-0402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1771",
            "fax_number": "321-434-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "PATTI",
        "middle_name": "MOORE",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010553",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9287478",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5010553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Options LLC
• Healthstat Onsite Clinic McCreary Modern Plant 6
• Helping Hands Clinic, Inc.
• Kodi Nicole Hendrix, PA
• Donnisha Makinya Henry, LCMHCA
• Dennice H Herman, M.D.
• Lizabeth Herman, FNP-C
• Samuel James Hester, AU.D.
• Rachel Elizabeth Hobbins, RD/LDN
• Marvin Kent Holcomb II, LCMHC

• Adult Health Nurse Practitioner in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.