Penelope Ruth Henderson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

249232 Issued in TX

Practice address

202 Madison
San Antonio, TX 78204-1320

Phone

(210) 508-5231

Fax

(210) 598-5231

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Certified Registered Nurse

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.

• Easter Anesthesia Staffing Inc

  • Certified Registered Nurse Anesthetist
  • Luling, TX
  • NPI 1659319580

  Nurse Anesthetist, Certified Registered

  NPD (past)
• North Texas Anesthesiology,PLLC

  • Specialist
  • Denison, TX
  • NPI 1003920828
  NPD (past)
• R Lee Ennis MD PA

  • Anatomic Pathology Physician
  • Denison, TX
  • NPI 1457629503
  NPD (past)
• Norton Anesthesia Services

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1376520528

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Poplar Bluff Regional Medical Center LLC

  • General Acute Care Hospital
  • Poplar Bluff, MO
  • NPI 1700831724

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Universtiy Anesthesia Assoc., Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Cincinnati, OH
  • NPI 1962455493
  NPD (past)
• Western Ohio Anesthesia Associates

  • Pain Medicine (Anesthesiology) Physician
  • Oxford, OH
  • NPI 1083607568
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1407801319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MADISON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041320",
            "telephone_number": "210-508-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MADISON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782041320",
            "telephone_number": "210-508-5231",
            "fax_number": "210-598-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "PENELOPE",
        "middle_name": "RUTH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "249232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Elaine Moore Henderson, CCC - SLP
• Kylee Henderson
• Mason Marshall Henderson
• Michael Todd Henderson, D.O.
• Natasha Henderson
• Randy Lavelle Henderson Jr., RN
• Rashida Henderson
• Takia Henderson
• Tremisha Danielle Henderson
• Mona Amin Hendi

• Certified Registered Nurse Anesthetist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.