Kadeidra Simone Henry, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

331373 Issued in NY

Practice address

67 Benburb St
Amityville, NY 11701-1403

Phone

(516) 329-3298

NPI assigned

Jun 9, 2022

Last updated

Jun 9, 2022By the provider in NPPES

Sex

Female

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1528797982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BENBURB ST",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011403",
            "telephone_number": "516-329-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BENBURB ST",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011403",
            "telephone_number": "516-329-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KADEIDRA",
        "middle_name": "SIMONE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "331373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G Hartman, PHD
• Nicole C. Harvey-Seaman
• Shiyona Haugh
• Hearwell Services Inc
• Rebecca Heller-Castillo, DPT
• Patricia Henry
• Mayeni Hernandez
• Katherine Ann Herzlinger
• Hexa DME Inc
• Asiah Lucinda Heyward

• Licensed Practical Nurse in Amityville, NY
• Providers in Amityville, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.