Deborah Ann Henderson, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

601786 Issued in NY

Practice address

1701 Noyes St
Utica, NY 13502-3857

Phone

(315) 368-6552

NPI assigned

Dec 16, 2011

Last updated

Dec 16, 2011By 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": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1619246840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GOLD ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135014411",
            "telephone_number": "315-732-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NOYES ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135023857",
            "telephone_number": "315-368-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "601786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Heinrich, LCSW
• Heather Helin
• Kristyn M Helmer, OTR/L
• Heather Powell Helmes
• Brett Henderson, PA-C
• Dannica Hennings, MD
• Jody Lynn Henry, C.O.T.A
• Caitlin Mackenzie Herber
• Nestor J Herbowy, DDS
• Heritage Operating Associates LLC (The Grand Rehabilitation and Nursing at Utica)

• Registered Nurse in Utica, NY
• Providers in Utica, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.