Organization Active NPI

Henderson Health Services Family Nurse Practitioner Services

  • Health Service Clinic/Center
  • White Plains, NY
National Provider Identifier
1326626532
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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)CodeLicenseStatePrimary
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 Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hendersonhealthservices@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.