Active NPI
Natalie Marie Henry
- Social Worker
- Champaign, IL
National Provider Identifier
1558751669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1801 Fox Dr
Champaign, IL 61820-7236 - Phone
- (217) 693-4640
- NPI assigned
- Jan 27, 2015
- Last updated
- Jan 27, 2015
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
1801 Fox Dr
Champaign, IL 61820-7236
Mailing address
703 W Nevada St Apt 6
Urbana, IL 61801-4078
Phone (815) 325-3271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1558751669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 W NEVADA ST APT 6",
"city": "URBANA",
"state": "IL",
"postal_code": "618014078",
"telephone_number": "815-325-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 FOX DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207236",
"telephone_number": "217-693-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "NATALIE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-27",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.