Individual provider Active NPI

Janice K Henderson, RN, CANP

  • Adult Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1336316330
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0177482-21 Issued in CO
Practice address
6795 E Tennessee Ave # 427
Denver, CO 80224-1614
Phone
(303) 458-1085
NPI assigned
May 9, 2008
Last updated
May 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0177482-21 CO Primary

Addresses

Primary practice location

6795 E Tennessee Ave # 427
Denver, CO 80224-1614

Mailing address

6795 E Tennessee Ave # 427
Denver, CO 80224-1614
Phone (303) 458-1085

Other identifiers 2

IdentifierTypeStateIssuer
47122OtherCOCOLORADO DEPT OF REGULATORY AGENCIES
0177482-21OtherCOAMERICAN NURSES CREDENTIALING CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Adult Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0177482-21COMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1336316330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE # 427",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241614",
            "telephone_number": "303-458-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 E TENNESSEE AVE # 427",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241614",
            "telephone_number": "303-458-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JANICE",
        "middle_name": "K",
        "credential": "RN, CANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "0177482-21",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPT OF REGULATORY AGENCIES",
            "identifier": "47122",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSES CREDENTIALING CENTER",
            "identifier": "0177482-21",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.