Active NPI
Jessica Henman, CNM, CPM, FNP-C
- Family Nurse Practitioner
- Wentzville, MO
National Provider Identifier
1457671604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2024033707
- Practice address
- 1082 Crosswinds CT
Wentzville, MO 63385-4836 - Phone
- (314) 944-3646
- Fax
- (314) 405-9464
- NPI assigned
- Jun 9, 2010
- Last updated
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | |||
| Advanced Practice Midwife | 367A00000X | 2010015977 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2024033707 | MO | Primary |
Addresses
Primary practice location
1082 Crosswinds CT
Wentzville, MO 63385-4836
Mailing address
1082 Crosswinds CT
Wentzville, MO 63385-4836
Phone (314) 944-3646
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024033707 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1457671604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1082 CROSSWINDS CT",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633854836",
"telephone_number": "314-944-3646",
"fax_number": "314-405-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1082 CROSSWINDS CT",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633854836",
"telephone_number": "314-944-3646",
"fax_number": "314-405-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENMAN",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "CNM, CPM, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MO",
"license": "2010015977",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2024033707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.