Individual provider Active NPI

June Strickland Henderson, M.D.

  • Legal Medicine
  • Williamsburg, VA
National Provider Identifier
1336363050
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
0101023275 Issued in VA
Practice address
One Gooch Drive
Williamsburg, VA 23187-8795
Phone
(757) 221-4386
Fax
(757) 221-1245
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 0101023275 VA Primary

Addresses

Primary practice location

One Gooch Drive
Williamsburg, VA 23187-8795

Mailing address

3328 Running Cedar Way
Williamsburg, VA 23188-2465
Phone (757) 229-2546

Other identifiers 1

IdentifierTypeStateIssuer
0101023275OtherVAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101023275VAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Student Health Center Past Accepting new patients

Organizations & group practices 1

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336363050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 RUNNING CEDAR WAY",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882465",
            "telephone_number": "757-229-2546",
            "fax_number": "757-221-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE GOOCH DRIVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231878795",
            "telephone_number": "757-221-4386",
            "fax_number": "757-221-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JUNE",
        "middle_name": "STRICKLAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "VA",
            "license": "0101023275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0101023275",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.