Individual provider Active NPI

Ashlee Marie Henderson, FNP

  • Family Medicine Physician
  • Little Elm, TX
National Provider Identifier
1326766213
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1096491 Issued in TX
Practice address
2700 E Eldorado Pkwy Ste 104B
Little Elm, TX 75068-5999
Phone
(972) 987-0458
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F08220561 TX
Family Medicine Physician 207Q00000X 1096491 TX Primary

Addresses

Primary practice location

2700 E Eldorado Pkwy Ste 104B
Little Elm, TX 75068-5999

Mailing address

2700 E Eldorado Pkwy Ste 104B
Little Elm, TX 75068-5999
Phone (972) 987-0458

Other identifiers 1

IdentifierTypeStateIssuer
1649682857MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240111004041 TX Practitioner - Nurse Practitioner 1658748991 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F08220561TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Denison PLLC CurrentSince Dec 5, 2023 Accepting new patients
Premier Pulmonary Critical Care and Sleep Medicine, PA CurrentSince Dec 5, 2023 Accepting new patients

Locations

5012 US Highway 75
Ste 200
Denison, TX 75020
Phone (903) 463-2223

5012 US Highway 75
Ste 290
Denison, TX 75020
Phone (773) 663-7744

3094 Laura Ln
Ste 100
McKinney, TX 75070
Phone (903) 465-5012

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFCCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1326766213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E ELDORADO PKWY STE 104B",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685999",
            "telephone_number": "972-987-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E ELDORADO PKWY STE 104B",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685999",
            "telephone_number": "972-987-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ASHLEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F08220561",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1096491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649682857",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

Verify at the official NPI Registry.