Lynette Henry, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703105630 Issued in MI

Practice address

32500 Concord Dr Ste 343
Madison Heights, MI 48071-1119

Phone

(248) 588-0512

Fax

(586) 620-6040

NPI assigned

May 18, 2011

Sex

Female

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

State licenses

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1275826653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5993 TOWNSEND ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482132472",
            "telephone_number": "313-285-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32500 CONCORD DR STE 343",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711119",
            "telephone_number": "248-588-0512",
            "fax_number": "586-620-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LYNETTE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703105630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Ford Health Macomb Oakland Hospital
• Henry Ford Health Macomb Oakland Hospital
• Henry Ford Health Macomb-Oakland Hospital
• Henry Ford Health Macomb-Oakland Hospital
• Henry Ford Health Macomb-Oakland Hospital
• Heritage Home Health Care Services, Inc
• Makenzy Sara Herman, BEHAVIOR TECHNICIAN
• Francis Hermes
• Eric G. Herron, NP
• Rachel Hetzner, RN, DNP

• Licensed Practical Nurse in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.