Julie A Henegan, LCCE

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

ST00001509 Issued in WA

Practice address

10922 Gentry CT SW
Olympia, WA 98512-9396

Phone

(360) 754-8080

NPI assigned

Apr 25, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NW Childbirth & Family Education

  • Local Education Agency (LEA)
  • Olympia, WA
  • NPI 1902024847
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447470372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12553",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985082553",
            "telephone_number": "360-754-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10922 GENTRY CT SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985129396",
            "telephone_number": "360-754-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEGAN",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "LCCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "WA",
            "license": "ST00001509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7408198",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcela Henderson
• Martha H Henderson, ARNP
• Sarah Anne Hendricks-Patel
• Amanda Hendricks
• Grace Elisabeth Hendry
• Richard Norman Henegan, MD
• Margaret Marie Hennessey, FNP
• Holli Henningsen Jerdes
• Henricksen Physical Therapy PLLC
• Kelli Ann Henricksen, DPT

• Surgical Technologist in Olympia, WA
• Providers in Olympia, WA by specialty
• Surgical Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.