Cassandra Henry, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9107186 Issued in FL

Practice address

8010 Sunport Dr Ste 116
Orlando, FL 32809-7897

Phone

(407) 851-0883

Fax

(407) 857-4722

NPI assigned

Apr 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1376868968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 SUNPORT DR STE 116",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097897",
            "telephone_number": "407-851-0883",
            "fax_number": "407-857-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 SUNPORT DR STE 116",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097897",
            "telephone_number": "407-851-0883",
            "fax_number": "407-857-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CASSANDRA",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Carolina Henriquez Ruiz
• Guillermo Abel Henriquez
• Henry Medical Corporation
• Ashley Lena Henry, MS, LMHC
• Brenie Henry
• Cheryl Lynne Henry, PTA
• Danielle Henry
• Danielle A Henry, M.D.
• Deionda Hannah Henry
• Duane Andre Henry, JD

• Medical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.