Shameeka S Henry, CHW

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

10074153 Issued in TX

Practice address

8347 Camp Bowie West Blvd
Ft Worth, TX 76116-6331

Phone

(817) 879-9283

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Daisy Shaw Companion Care

  • Personal Care Attendant
  • Ft Worth, TX
  • NPI 1427627199
  NPD Authorized official

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718496000000",
    "number": "1255936167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 MABE RD APT 1608A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511574",
            "telephone_number": "817-719-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8347 CAMP BOWIE WEST BLVD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761166331",
            "telephone_number": "817-879-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SHAMEEKA",
        "middle_name": "S",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2024-06-16",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "14560",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "10074153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keshona Henry
• Linda Henry, MD
• Lisa J Henry, LMSW
• Rochelle Amelia Henry, PHD
• Samuel Pachis Henry, RBT
• Shawn Mark Henry, D.O.
• Zachary Nathaniel Henry
• Jennifer Hensarling, LPC
• Kendi Hensel, DO
• Lisa Hensley, PH.D.

• Nurse's Aide in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Nurse's Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.