Active NPI
Julia B Henry, MSN, NP
- Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1457546095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN110859
- Practice address
- 2751 Albert L Bicknell Dr Ste 2D
Shreveport, LA 71103-3939 - Phone
- (318) 222-6547
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN110859 | LA | Primary |
Addresses
Primary practice location
2751 Albert L Bicknell Dr Ste 2D
Shreveport, LA 71103-3939
Mailing address
2751 Albert L Bicknell Dr Ste 2D
Shreveport, LA 71103-3939
Phone (318) 222-6547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN110859 AP05131 | Other | LA | NURSING LISCENSE |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05131 | LA | MD | Physical Medicine & Rehabilitation Physician |
| RN110859 | LA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1457546095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 ALBERT L BICKNELL DR STE 2D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033939",
"telephone_number": "318-222-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 ALBERT L BICKNELL DR STE 2D",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033939",
"telephone_number": "318-222-6547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "JULIA",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "MSN, NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "RN110859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LISCENSE",
"identifier": "RN110859 AP05131",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.