Veritta Henderson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN107629 Issued in GA

Practice address

3370 Sugarloaf Pkwy
Suite G-2-171
Lawrenceville, GA 30044-5478

Phone

(770) 736-8444

NPI assigned

Nov 24, 2009

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1306174768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 SUGARLOAF PKWY",
            "address_2": "SUITE G-2-171",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445478",
            "telephone_number": "770-736-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 SUGARLOAF PKWY",
            "address_2": "SUITE G-2-171",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445478",
            "telephone_number": "770-736-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "VERITTA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN107629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakila Talynn Henderson-Baker, MSCP, MHP
• Amber Rebecca Henderson, LMSW, CPS-AD
• Brooklyn Nichole Henderson
• Carmen Henderson, RN, BSN
• Stephanie Henderson
• Ronnie Eugene Hendrix, MD
• Stephanie J Henklein
• Sarah Elizabeth Henle, MED, LPC
• Henry a Magnant MD PC
• Erin Henry, NP

• Registered Nurse in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.