Holli Jayne Henoch, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-78469 Issued in KS

Practice address

1001 S Ohio St
Salina, KS 67401

Phone

(785) 827-6453

Fax

(785) 823-1255

NPI assigned

Nov 6, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holli.henoch@srhcdirect.com
• Direct secure messaging: holli.henoch@comcarepa.gwaydirect.com

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.

• Henoch Medical Group LLC

  • Primary Care Nurse Practitioner
  • Salina, KS
  • NPI 1891423984
  NPD Authorized official

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1265900468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015364",
            "telephone_number": "785-827-6453",
            "fax_number": "785-823-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-827-6453",
            "fax_number": "785-823-1255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S Ohio St",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674015364",
            "country_code": "US",
            "telephone_number": "785-827-6453",
            "fax_number": "785-823-1255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S Ohio St",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "67401",
            "country_code": "US",
            "telephone_number": "785-827-6453",
            "fax_number": "785-823-1255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENOCH",
        "first_name": "HOLLI",
        "middle_name": "JAYNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "78469",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KS",
            "license": "53-78469",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-78469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201229600A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Helmer, PT
• Rachel A Hemken, LPC
• Bethena Ann Hemphill
• Amy M Henderson, CPTA
• Henoch Medical Group LLC
• Crystal Dawn Hensler, CPTA
• Danielle Bedell Henson, M.D.
• Robert B Henson, DDS
• Monique Christelle Herbel, PA-C
• Hernandez Enterprises, LLC

• Nurse Practitioner in Salina, KS
• Providers in Salina, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.