Individual provider Active NPI

Hannah Henderson, FNP

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1255820981
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21841 Issued in SC
Practice address
3020 Reidville Rd Ste B
Spartanburg, SC 29301
Phone
(864) 272-0388
Fax
(864) 213-9237
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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 21841 SC Primary

Addresses

Primary practice location

3020 Reidville Rd Ste B
Spartanburg, SC 29301

Mailing address

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone (864) 272-0388

Other practice location 1

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone (864) 272-0388

Other practice location 2

312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 213-9237

Other practice location 3

211 Batesville Road
Simpsonville, SC 29681
Phone (864) 272-0388

Other practice location 4

145 E Poinsett St
Greer, SC 29651-3405
Phone (864) 272-0388

Other names 1

  • Hannah Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20210927003496 SC Practitioner - Nurse Practitioner 1153728597 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21841SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians CurrentSince Oct 1, 2021 Accepting new patients
Musc Affiliate Physicians CurrentSince Oct 1, 2021 Accepting new patients
University Medical Associates Past Accepting new patients

Locations

9 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 286-1040

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

3093 S Highway 14
Ste 101
Greer, SC 29650
Phone (864) 720-1900

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

1220 Parkside Acorn Dr
Inman, SC 29349
Phone (864) 516-1783

2 Hatcher Creek St
Simpsonville, SC 29680

211 Batesville Rd
Simpsonville, SC 29681

559 Harrison Bridge Rd
Simpsonville, SC 29680

312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 603-5600

2430 Reidville Rd
Spartanburg, SC 29301
Phone (864) 516-1783

3020 Reidville Rd
#B
Spartanburg, SC 29301
Phone (846) 576-5764

Interoperability endpoints

  • Direct secure messaging: hannah.henderson@tribe513.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1255820981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 REIDVILLE RD STE B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29301",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Verdae Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074021",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 HARRISON BRIDGE RD",
            "address_purpose": "LOCATION",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29680",
            "country_code": "US",
            "telephone_number": "864-213-9237",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 BATESVILLE ROAD",
            "address_purpose": "LOCATION",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "29681",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 E Poinsett St",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296513405",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "HANNAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "WALKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.