Active NPI
Amber Lynne Henderson, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 21151
- Practice address
- 2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733 - Phone
- (843) 402-1436
- Fax
- (843) 402-1833
- NPI assigned
- Aug 23, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 21151 | SC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 52671 | WV |
Addresses
Primary practice location
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Mailing address
PO Box 632509
Cincinnati, OH 45263-2508
Phone (803) 765-1838
Other practice location 1
65 Ringold Ln
Morgantown, WV 26508
Phone (304) 612-4662
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2602523000 | Medicaid | WV | |
| AN2706 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Okatie Ctr Blvd S
Suite 125
Okatie, SC 29909-7510
Phone (843) 705-8804
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (800) 228-0249
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Optimum Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Beach Anesthesia, LLC | Current | Accepting new patients | |
| Low Country Anesthesia, PA | Current | Accepting new patients | |
| Nurse Anesthesia of South Carolina LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Western Pennsylvania Anesthesia Associates, LTD. | Past | Accepting new patients |
Locations
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
1844 Wallace School Rd
Charleston, SC 29407
Phone (843) 556-2545
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
190 Pembroke Dr
Hilton Head Island, SC 29926
Phone (843) 682-2345
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
40 Okatie Center Blvd S
Ste 125
Okatie, SC 29909
Phone (843) 705-8804
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Beaufort, SC
- NPI 1417928268
-
- Anesthesiology Physician
- Poland, OH
- NPI 1851656854
Nurse Anesthetist, Certified Registered, SC
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Certified Registered Nurse Anesthetist
- Charleston, SC
- NPI 1073548590
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Pittsburgh, PA
- NPI 1386639847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1316054836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632509",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632508",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 HENRY TECKLENBURG DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145733",
"telephone_number": "843-402-1436",
"fax_number": "843-402-1833"
}
],
"practiceLocations": [
{
"address_1": "65 Ringold Ln",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "26508",
"country_code": "US",
"telephone_number": "304-612-4662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "AMBER",
"middle_name": "LYNNE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "21151",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "52671",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2602523000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN2706",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.