Adravon S Henderson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08715 Issued in LA

Practice address

2314 S Range Ave
Denham Springs, LA 70726-5216

Phone

(225) 480-4080

Fax

(866) 751-0881

NPI assigned

Mar 1, 2016

Last updated

Mar 20, 2026By the provider in NPPES

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

Other identifiers 1

Other names 1

• Mrs. Adravon S Wilson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centerwell Senior Primary Care la PCGroup PAC ID 1951712280, 40 clinicians

Louisiana Internal Medicine and Pediatric Associates, LLCGroup PAC ID 5092089896, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adravon.henderson.1@29601.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centerwell Senior Primary Care (la) PC

  dba CenterWell Senior Primary Care-Bossier City

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1760005136
  Medicare reassignment Care Compare group NPD
• Louisiana Internal Medicine and Pediatric Associates, LLC

  • Multi-Specialty Clinic/Center
  • Baton Rouge, LA
  • NPI 1871025387
  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care (la) PC

  dba CenterWell Senior Primary Care-Opelousas

  • Internal Medicine Physician
  • Opelousas, LA
  • NPI 1407564628
  NPD
• Centerwell Senior Primary Care (la) PC

  dba CenterWell Senior Primary Care - Lake Charles

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1952036998
  NPD
• R.T. Royal Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1255705828
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Our Lady of the Lake Hospital Inc.

  dba Our Lady of the Lake Regional Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123
  Care Compare affiliation

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1326408576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000",
            "fax_number": "786-522-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 S RANGE AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265216",
            "telephone_number": "225-480-4080",
            "fax_number": "866-751-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ADRAVON",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2421727",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adravon.henderson.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2314 S Range Ave",
            "city": "Denham Springs",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707265216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ADRAVON",
            "last_name": "WILSON",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kiera Ta'Sha Heard
• Brittany Hebert, LPC
• Katherine Hebert, RN
• Miranda Leigh Hebert, DNP, APRN
• Marion Gaines Heck, PT
• Latasha Henderson, M.D.
• Henry T. Young, Jr., M.D.
• Reagan Danielle Henry
• Lauren Alexandra Herbert, CCC-SLP
• Betty Herig, CIT

• Family Nurse Practitioner in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.