Stephanie Henry

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

2662 St Rte 20 Ste 1
Cazenovia, NY 13035-9565

Phone

(315) 313-4399

NPI assigned

Jan 31, 2019

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

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 and National Provider Directory roles.

• Madison County Rural Health Council, Inc.

  • Public Health or Welfare Agency
  • Cazenovia, NY
  • NPI 1144792052

  Health Educator

  NPD Authorized official

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1245794551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 STATE RT. 20 (UNIT 1)",
            "address_2": "PO BOX 430",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "13035",
            "telephone_number": "315-313-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 ST RTE 20 STE 1",
            "city": "CAZENOVIA",
            "state": "NY",
            "postal_code": "130359565",
            "telephone_number": "315-313-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nettie Goeler, M.A., CCC-SLP
• Kelly Gray, PHARMD
• Thomas Arlis Green, M.D.
• Kerry Guerin
• Will Hartley, LCSW-R
• Michael E. Holdren, PH.D.
• Inneractive Wellness, Inc.
• J. Kurt Concilla, D.P.M., PLLC
• Jan Tewes,LCSW,PLLC
• Joseph Jennings Johnston, LCSW

• Health Educator in Cazenovia, NY
• Providers in Cazenovia, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.