Lateshia Henderson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005819 Issued in CA

Practice address

705 W Pecan Ave
Madera, CA 93637-6254

Phone

(760) 326-0222

NPI assigned

Jan 19, 2017

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Madera, CA
  • NPI 1891778114

  Family

  Medicare reassignment NPD
• Shyam Bhaskar MD Inc

  • Internal Medicine Physician
  • Visalia, CA
  • NPI 1609063429
  Medicare reassignment
• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Los Banos, CA
  • NPI 1114757754
  NPD
• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Oakhurst, CA
  • NPI 1437407582
  NPD

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1316484074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W PECAN AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936376254",
            "telephone_number": "559-664-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W PECAN AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936376254",
            "telephone_number": "760-326-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LATESHIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthstat Wellness Bac Madera
• Healthy Living at Home - Fresno LLC
• Joe Heaton, CCP
• Whitney Heberle
• Hal Helbock, MD
• Whitney Loren Hendricks
• Susan Her, PHARMD
• Narakesari Prasanna Heragu, M.D.
• Oriza Hernandez Monreal, MSW
• Brian Silvino Hernandez, MD

• Family Nurse Practitioner in Madera, CA
• Providers in Madera, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.