Steven Henderson

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

230014797491009 Issued in MI

Practice address

19509 Westbrook St
Detroit, MI 48219-1921

Phone

(248) 979-1516

NPI assigned

Jul 14, 2014

Last updated

Jul 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1528475399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19509 WESTBROOK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191921",
            "telephone_number": "248-979-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19509 WESTBROOK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191921",
            "telephone_number": "248-979-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "230014797491009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Henderson, LPC
• Rachael Henderson
• Rayne Henderson, RPH
• Shanena Henderson
• Sheriesha Renee Henderson, RN
• Tanisha M Henderson
• Tyjaun Emmanuel Henderson Jr.
• Valerie Henderson
• Keiko Anne De Leon Hendrick, M.D.
• Armanda Hendricks, RDH

• Nurse's Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Nurse's Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.