Bintou G Kaba-Henderson, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0024177658 Issued in VA

Practice address

9200 Wildwood St
Lorton, VA 22079-1818

Phone

(571) 358-8318

Fax

(571) 358-8318

NPI assigned

Jun 9, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Sierra Springs Integrated Care PLLC

  • Nurse Practitioner
  • Lorton, VA
  • NPI 1730019753
  NPD Authorized official
• Sierra Springs Home Health Care LLC

  • Home Health Agency
  • Alexandria, VA
  • NPI 1972195485
  NPD (past) Authorized official
• Premise Health of Virginia Medical PC

  • Health Service Clinic/Center
  • Vienna, VA
  • NPI 1881021731
  NPD (past)

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1407415938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 WILDWOOD ST",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791818",
            "telephone_number": "571-358-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 WILDWOOD ST",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791818",
            "telephone_number": "571-358-8318",
            "fax_number": "571-358-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABA-HENDERSON",
        "first_name": "BINTOU",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024177658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Jones
• Navneet Josan
• Pedro A Jose, MD
• Marina Shuster Jungwirth, MD
• Jupiter Health Organization
• Heela Kakar
• Shaima Jalala Kanak, DNP,FNP
• Ofeliya Kara I
• Gurneet Kaur
• KC Medical Inc.

• Primary Care Nurse Practitioner in Lorton, VA
• Providers in Lorton, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.