Jill Rosati Henneberg, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0991886-NP Issued in CO

Practice address

2121 North Avenue
Grand Junction Veterans Health Care Systems
Grand Junction, CO 81501-2944

Phone

(970) 242-0731

NPI assigned

Oct 30, 2015

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1457723371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 NORTH AVENUE",
            "address_2": "GRAND JUNCTION VETERANS HEALTH CARE SYSTEMS",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NORTH AVENUE",
            "address_2": "GRAND JUNCTION VETERANS HEALTH CARE SYSTEMS",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012944",
            "telephone_number": "970-242-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEBERG",
        "first_name": "JILL",
        "middle_name": "ROSATI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991886-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Henderson, MSN, APRN, NNP-BC
• Trystan Henderson
• Katherine Hendrick, MFTC
• Caroline Howington Hendrix, FNP-C
• Patrick Henke, DO
• Chelsie E Hensley, AUD
• Katrina Henson, MSW
• Dexter Cruthaim Herda, PH.D., LCSW
• Bobbi J Herland, CNA
• Alessandra Hernandez

• Family Nurse Practitioner in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.