Active NPI
Henderson Health Services Family Nurse Practitioner Services
- Health Service Clinic/Center
- White Plains, NY
National Provider Identifier
1326626532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- HENDERSON HEALTH SERVICES FAMILY NURSE PRACTITIONER SERVICES
- Practice address
- 75 S Broadway FL 4
White Plains, NY 10601-4413 - Phone
- (914) 200-4275
- Fax
- (914) 236-1031
- NPI assigned
- Mar 30, 2021
- Last updated
- Oct 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sebrina Lei-Lani XI-Amaru- Henderson, FNP
- Title
- FNP
- Phone
- (914) 200-4275
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Health Service Clinic/Center | 261QH0100X | NU | Primary |
Addresses
Primary practice location
75 S Broadway FL 4
White Plains, NY 10601-4413
Mailing address
75 S Broadway FL 4
White Plains, NY 10601-4413
Phone (914) 200-4275
Other names 1
- Henderson Health services Family Nurse Practitioner PLLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | hendersonhealthservices@gmail.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- White Plains, NY
- NPI 1235530395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634515200000",
"number": "1326626532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 S BROADWAY FL 4",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014413",
"telephone_number": "914-200-4275",
"fax_number": "914-236-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 S BROADWAY FL 4",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106014413",
"telephone_number": "914-200-4275",
"fax_number": "914-236-1031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENDERSON HEALTH SERVICES FAMILY NURSE PRACTITIONER SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-30",
"last_updated": "2021-10-18",
"certification_date": "2021-10-02",
"status": "A",
"authorized_official_last_name": "XI-AMARU- HENDERSON",
"authorized_official_first_name": "SEBRINA",
"authorized_official_middle_name": "LEI-LANI",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "914-200-4275",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "hendersonhealthservices@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "75 S Broadway Fl 4",
"city": "White Plains",
"state": "NY",
"country_code": "US",
"postal_code": "106014413",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Henderson Health services Family Nurse Practitioner PLLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Henderson Health services Family Nurse Practitioner PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.