Jennifer Henry, CHC, CRC, CLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

15181 Van Buren Blvd SPC 5
Riverside, CA 92504-5634

Phone

(951) 807-6213

NPI assigned

May 19, 2019

Last updated

May 19, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1285290866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15181 VAN BUREN BLVD SPC 5",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045634",
            "telephone_number": "951-807-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15181 VAN BUREN BLVD SPC 5",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045634",
            "telephone_number": "951-807-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "CHC, CRC, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Henriquez
• Agnes Claudine Cecile Henry-Codorniz, M.D.
• Brandon Allen Henry, M.D.
• Destini Henry
• Jasmine Henry, RN
• Natalie Henry, ACSW
• Sommer Henry, LVN
• William Jared Travis Henry, AMFT
• Jennifer Henseler, LVN
• Hailey Judith Ann Hensley

• Health Educator in Riverside, CA
• Providers in Riverside, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.