Active NPI
Mary Henry
- Registered Nurse
- Bowling Green, OH
National Provider Identifier
1396107454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN205639
- Practice address
- 1010 N Prospect St
Bowling Green, OH 43402-1335 - Phone
- (419) 352-5387
- Fax
- (419) 352-9506
- NPI assigned
- Mar 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN205639 | OH | Primary |
Addresses
Primary practice location
1010 N Prospect St
Bowling Green, OH 43402-1335
Mailing address
PO Box 29
Bowling Green, OH 43402-0029
Phone (419) 352-5387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN205639 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- NPI 1932510385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459036800000",
"number": "1396107454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434020029",
"telephone_number": "419-352-5387",
"fax_number": "419-352-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N PROSPECT ST",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434021335",
"telephone_number": "419-352-5387",
"fax_number": "419-352-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-27",
"last_updated": "2016-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN205639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.