Brandy Davina Henderson, RN,FNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.026361 Issued in OH

Practice address

4950 Northcutt PL
Dayton, OH 45414-3840

Phone

(937) 496-2020

Fax

(937) 496-2016

NPI assigned

Dec 13, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Care Family Practice Rick Bobay LLCGroup PAC ID 5991844631, 79 clinicians

Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Arts, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/eastway/r4/
• Direct secure messaging: lifestancehealth.brandyhenderson@140098.advancedmd-direct.com

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.

• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Total Care Family Practice Rick Bobay LLC

  • Internal Medicine Physician
  • Jeffersonville, IN
  • NPI 1356674162

  OH, Single Specialty

  Medicare reassignment Care Compare group NPD
• Eastway Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1811920556

  Single Specialty

  Medicare reassignment NPD
• Trihealth U LLC

  • Community Health Clinic/Center
  • Cincinnati, OH
  • NPI 1528605177

  Single Specialty

  Medicare reassignment NPD
• Total Care Family Practice Rick Bobay LLC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1831088731

  Single Specialty

  NPD
• Transitions Health Network LLC

  • Internal Medicine Physician
  • Jeffersonville, IN
  • NPI 1336625706

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1316452253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511442",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 NORTHCUTT PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143840",
            "telephone_number": "937-496-2020",
            "fax_number": "937-496-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11690 Grooms Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452421412",
            "country_code": "US",
            "telephone_number": "812-284-2273",
            "fax_number": "812-284-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "BRANDY",
        "middle_name": "DAVINA",
        "credential": "RN,FNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.026361",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RP277614",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "CNP.026361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Hemming, LPN
• Nicholas Allen Hemsley, DO
• Jessica Hendershot, PEER SUPPORT
• Meagan-Helen Henderson Berg, MDCM (MD)
• Aaron Henderson
• Brianna Henderson, LICDC
• Candice Anne Henderson
• Cheron M Henderson, LPN
• Coleen Henderson, LISW-S
• Daniel Henderson, PEER SUPPORT

• Psychiatric/Mental Health Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.