Tanisha Henry, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

9481114 Issued in FL

Practice address

1833 SW Capehart Ave
Port Saint Lucie, FL 34953-4606

Phone

(772) 240-9417

Fax

(772) 673-8228

NPI assigned

Feb 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1346873817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10380 SW VILLAGE CENTER DR # 188",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871931",
            "telephone_number": "772-240-9417",
            "fax_number": "772-673-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 SW CAPEHART AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534606",
            "telephone_number": "772-240-9417",
            "fax_number": "772-673-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "TANISHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "9481114",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "9481114",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": "9481114",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "9481114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Eduardo Henao Castro, MD
• Hailey Henderson
• Reginald Henderson Sr.
• Britney Sharonda Henley-Philemond
• Ludner Henri Sr., CNA212386
• Hensley Physical Therapy Services, Inc.
• Mary B Hensley
• Robert A Hensley
• Jacob Benjamin Hentges, MD
• Enock Herard

• Home Health Registered Nurse in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.