Individual provider Active NPI

Miranda Allen Henderson, FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1336939339
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
237767 Issued in LA
Practice address
3235 Perkins Rd
Baton Rouge, LA 70808-2256
Phone
(225) 387-3030
NPI assigned
May 12, 2025
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 907237 MS
Family Nurse Practitioner 363LF0000X 237767 LA Primary

Addresses

Primary practice location

3235 Perkins Rd
Baton Rouge, LA 70808-2256

Mailing address

3235 Perkins Rd
Baton Rouge, LA 70808-2256
Phone (225) 387-3030

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8490 Picardy Ave
Baton Rouge, LA 70809-3733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
237767LAMDFamily Nurse Practitioner
907237MSMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mhenderson29084@brgeneralhealthsystem.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1336939339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082256",
            "telephone_number": "225-387-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708082256",
            "telephone_number": "225-387-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MIRANDA",
        "middle_name": "ALLEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "907237",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "237767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.