Individual provider Active NPI

Marie Ann Hansen Henderson, N.P.

  • Primary Care Nurse Practitioner
  • Santa Barbara, CA
National Provider Identifier
1457308496
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
447465 Issued in CA
Practice address
4440 Calle Real
Santa Barbara, CA 93110-1002
Phone
(805) 683-1491
Fax
(805) 683-3631
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 447465 CA Primary

Addresses

Primary practice location

4440 Calle Real
Santa Barbara, CA 93110-1002

Mailing address

148 Cameta Way
Santa Barbara, CA 93110-1712
Phone (805) 683-1491

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
447465CAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457308496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 CAMETA WAY",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101712",
            "telephone_number": "805-683-1491",
            "fax_number": "805-683-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 CALLE REAL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101002",
            "telephone_number": "805-683-1491",
            "fax_number": "805-683-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN HENDERSON",
        "first_name": "MARIE",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "447465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.