Individual provider Active NPI

Kathryn Henderson, CRNP

  • Family Nurse Practitioner
  • Seneca, PA
National Provider Identifier
1518649342
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027511 Issued in PA
Practice address
1 Park Way
Seneca, PA 16346
Phone
(833) 604-7213
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP027511 PA Primary

Addresses

Primary practice location

1 Park Way
Seneca, PA 16346

Mailing address

11374 Route 322
Shippenville, PA 16254-4936
Phone (919) 961-8569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20231019002638 PA Practitioner - Nurse Practitioner 7719333251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Park Way
BHS Seneca Med Ctr
Seneca, PA 16346-0802
Phone (833) 604-7213

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Oct 9, 2023 Accepting new patients
Butler Medical Providers CurrentSince Oct 9, 2023 Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

1 Park Way
Seneca, PA 16346
Phone (814) 676-5444

Interoperability endpoints

  • Direct secure messaging: kathryn.henderson@direct-address.net

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1518649342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11374 ROUTE 322",
            "city": "SHIPPENVILLE",
            "state": "PA",
            "postal_code": "162544936",
            "telephone_number": "919-961-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK WAY",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "16346",
            "telephone_number": "833-604-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KATHRYN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, PA

Sources for this page

Verify at the official NPI Registry.