Melissa Ann Henderson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN675172 Issued in PA

Practice address

1601 Cherry St Ste 11484
Philadelphia, PA 19102-1312

Phone

(215) 255-7893

NPI assigned

May 4, 2018

Last updated

May 4, 2018By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1487143483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 W HAROLD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323608",
            "telephone_number": "267-474-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST STE 11484",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021312",
            "telephone_number": "215-255-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN675172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Shar'Nyce Henderson, LPC, R-DMT
• Chaim Henderson, LPC
• Jacqueline Bernier Henderson, MSN
• Judy Henderson
• Kathleen Henderson, MSN, CRNP
• Michaela Henderson, MD
• Paul L Henderson, BS
• Shelley Joyceanne Thomas Henderson, MD
• Shenise Nicole Henderson, LCSW
• Shonquell S Henderson

• Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.