Individual provider Active NPI

Yara Henninger, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1568830867
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
072158-23 Issued in NH
Practice address
45 High St
Nashua, NH 03060-3312
Phone
(603) 821-7788
Fax
(603) 821-5620
NPI assigned
Sep 3, 2015
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 072158-23 NH Primary

Addresses

Primary practice location

45 High St
Nashua, NH 03060-3312

Mailing address

77 Northeastern Blvd
Nashua, NH 03062-3128
Phone (603) 882-3616

Other names 1

  • Yara Assaad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20151117001941 NH Practitioner - Nurse Practitioner 5496065765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Harbor Homes, Inc.Group PAC ID 4587714779, 14 clinicians

Practice addresses (Care Compare)

45 High St
Nashua, NH 03060-3312
Phone (603) 821-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Homes, Inc. CurrentSince Sep 10, 2018 Accepting new patients
Harbor Homes, Inc CurrentSince Sep 10, 2018 Accepting new patients
Harbor Homes, Inc. Psychiatric/Mental Health Past Accepting new patients

Locations

45 High St
Nashua, NH 03060
Phone (603) 821-7788

615 Amherst St
Nashua, NH 03063
Phone (603) 821-7788

615 Amherst St
Ste 1
Nashua, NH 03063
Phone (603) 881-4848

77 Northeastern Blvd
Nashua, NH 03062
Phone (603) 882-3616

77 Northeastern Blvd
Ste C
Nashua, NH 03062

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1568830867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NORTHEASTERN BLVD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623128",
            "telephone_number": "603-882-3616",
            "fax_number": "866-881-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HIGH ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603312",
            "telephone_number": "603-821-7788",
            "fax_number": "603-821-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGER",
        "first_name": "YARA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "072158-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YARA",
            "last_name": "ASSAAD",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.