Amanda Jaquay Henderson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1193342 Issued in TX

Practice address

10707 Corporate Dr Ste 140
Stafford, TX 77477-4092

Phone

(409) 996-1351

NPI assigned

Apr 16, 2025

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 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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Comprehensive Sleep Medicine Associates, PAGroup PAC ID 1052404050, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Comprehensive Sleep Medicine Associates, PA

  • Neurology Physician
  • Houston, TX
  • NPI 1114954443
  Medicare reassignment Care Compare group NPD
• Advanced Healthcare Services Inc

  • General Practice Physician
  • Stafford, TX
  • NPI 1265252522
  Medicare reassignment NPD
• Advanced Woundcare Solution LLC

  • General Practice Physician
  • Rosenberg, TX
  • NPI 1306728605
  Medicare reassignment NPD

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1407642689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 BRIAR ROSE CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841582",
            "telephone_number": "409-996-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 CORPORATE DR STE 140",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774092",
            "telephone_number": "409-996-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "AMANDA",
        "middle_name": "JAQUAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1193342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heaven;Ly Hospice@Home LLC
• Michael Gerard Hehman, M.D.
• Helixpath DME & Lab Services
• Katelyn Dawn Helm, RN
• Hence Emergency Services Inc
• Lasonja Jordan Henderson
• Gia Henley
• Nadaira S Henry
• Courtney S Henton
• Shaylyn S Herald, RN

• Family Nurse Practitioner in Stafford, TX
• Providers in Stafford, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.