Active NPI
Carla Gean Henderson, RN, MSN, GNP
- Gerontology Nurse Practitioner
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 601127
- Practice address
- 301 University Blvd
Galveston, TX 77555-7649 - Phone
- (409) 772-8652
- Fax
- (409) 772-6830
- NPI assigned
- Apr 8, 2010
- Last updated
- Jan 26, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 601127 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-7649
Mailing address
301 University Blvd
Galveston, TX 77555-7649
Phone (409) 772-8652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
Hospital & facility affiliations
- Accentcare Home Health of Texas
- Care & Cure Home Health, Inc.
- All Care Home Health
- University of Texas Medical Branch Galveston
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.88 of 100
- Quality
- 73.38
- Improvement activities
- 40
- Cost
- 78.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 601127 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoatlanta, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| Innovations Wound Management, PA | Past | Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
301 University Blvd
Fl 6
Galveston, TX 77555
Organizations & group practices 4
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
-
- Orthopaedic Surgery Physician
- Evans, GA
- NPI 1679251920
-
- General Practice Physician
- Houston, TX
- NPI 1083857049
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Houston, TX
- NPI 1316584899
-
dba Texas Home Health Skilled Services
- Home Health Agency
- Desoto, TX
- NPI 1801880554
-
dba AccentCare Home Health of Texas
- Home Health Agency
- Galveston, TX
- NPI 1659594737
-
dba University of Texas Medical Branch
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1467778084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775557649",
"telephone_number": "409-772-8652",
"fax_number": "409-772-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775557649",
"telephone_number": "409-772-8652",
"fax_number": "409-772-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "CARLA",
"middle_name": "GEAN",
"name_prefix": "Mrs.",
"credential": "RN, MSN, GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-08",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "601127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.