Active NPI
Atley Jnel Henderson, RN
- School Registered Nurse
- York, NE
National Provider Identifier
1295409126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 75974
- Practice address
- 1501 Washington Ave
York, NE 68467-4700 - Phone
- (402) 362-1414
- NPI assigned
- Aug 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 75974 | NE | Primary |
Addresses
Primary practice location
1501 Washington Ave
York, NE 68467-4700
Mailing address
1607 Road S
Waco, NE 68460-8855
Phone (402) 710-0722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75974 | NE | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1295409126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 ROAD S",
"city": "WACO",
"state": "NE",
"postal_code": "684608855",
"telephone_number": "402-710-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 WASHINGTON AVE",
"city": "YORK",
"state": "NE",
"postal_code": "684674700",
"telephone_number": "402-362-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "ATLEY",
"middle_name": "JNEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NE",
"license": "75974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.