Christina Nicole Henderson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0000002437 Issued in TN

Practice address

4711 Centerline Dr
Knoxville, TN 37917-1403

Phone

(865) 545-8700

Fax

(865) 545-8704

NPI assigned

Feb 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Christina Nicole Allen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1366866139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 CENTERLINE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171403",
            "telephone_number": "865-545-8700",
            "fax_number": "865-545-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 CENTERLINE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171403",
            "telephone_number": "865-545-8700",
            "fax_number": "865-545-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000002437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "ALLEN",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Thomas Henckel, LPC-MHSP
• Anne Katherine Hendershott
• Afeni D. Henderson, NP-C
• Alison Henderson
• Amanda Susan Henderson, PMHNP-BC
• Dallas Henderson, MA, LMHC
• Hanna Helich Henderson, FNP-C
• Hope Ann Henderson, O.D.
• Janicia Lelita Henderson, CCMA
• Jennifer Lee Henderson, M.ED, CCC-SLP

• Physician Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.