Individual provider Active NPI

Theresa Henry

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1386971950
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
682358 Issued in TX
Practice address
25110 Grogans Mill Rd
Spring, TX 77380-2248
Phone
(612) 225-1538
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 682358 TX Primary

Addresses

Primary practice location

25110 Grogans Mill Rd
Spring, TX 77380-2248

Mailing address

25110 Grogans Mill Rd
Spring, TX 77380-2248
Phone (612) 225-1538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100114000807 TX Practitioner - Nurse Practitioner 7012059926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

808 Havard Pointe Dr
League City, TX 77573

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
682358TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P CurrentSince May 12, 2025 Accepting new patients
Villagemd of Southeast Texas, PA CurrentSince Dec 14, 2025 Accepting new patients

Locations

102 N Friendswood Dr
Friendswood, TX 77546
Phone (281) 992-3431

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

302 Highway 3 S
League City, TX 77573
Phone (281) 332-6573

Organizations & group practices 3

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": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1386971950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25110 GROGANS MILL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802248",
            "telephone_number": "612-225-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25110 GROGANS MILL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802248",
            "telephone_number": "612-225-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "682358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.