Justin Robert Henry, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704358909 Issued in MI

Practice address

5433 S Occidental Rd Ste C
Tecumseh, MI 49286-9782

Phone

(517) 273-3210

Fax

(734) 418-9068

NPI assigned

Mar 27, 2025

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Nurse

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.

• Life IV Therapy PLLC

  dba Life IV Weight Loss

  • Obesity Medicine (Internal Medicine) Physician
  • Tecumseh, MI
  • NPI 1396563821
  NPD Authorized official

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1275335358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 S OCCIDENTAL RD STE C",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492869782",
            "telephone_number": "517-273-3210",
            "fax_number": "734-418-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 S OCCIDENTAL RD STE C",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492869782",
            "telephone_number": "517-273-3210",
            "fax_number": "734-418-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JUSTIN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-27",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704358909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Specialists of Lenawee P C
• Health Specialists of Lenawee, P.C.
• Mallory Heiney
• Kali D Heller
• Aimee Hennings-Roe
• Heidi Herman, PMHNP
• Herrick Hospital
• Herrick Medical Center
• Herrick Medical Center
• Herrick Medical Center

• Registered Nurse in Tecumseh, MI
• Providers in Tecumseh, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.