Mary Fisher Henley, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5002409 Issued in NC

Practice address

1811 E Innes St
Salisbury, NC 28146-6030

Phone

(704) 216-8834

Fax

(704) 638-3129

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Liberty Healthcare Group, LLC

  • Case Management Agency
  • Wilmington, NC
  • NPI 1629217856
  Medicare reassignment NPD
• Liberty Healthcare Group LLC

  • Skilled Nursing Facility
  • Falcon, NC
  • NPI 1912040379
  NPD

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1629116108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466030",
            "telephone_number": "704-216-8834",
            "fax_number": "704-638-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E INNES ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281466030",
            "telephone_number": "704-216-8834",
            "fax_number": "704-638-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "MARY",
        "middle_name": "FISHER",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5002409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005023",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL",
            "identifier": "2593214",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Michelle Heintz, FNP
• James Helms, CRNA
• Ilisa Henderson, MSW LCSWA
• Kimberly Henderson, RPH
• Alexis Branch Henley, DPT
• Timothy James Hennie, O.D.
• Michelle Buie Henrickson, RD
• Henrys Haven Pathways LLC
• Brett R. Henson, DDS
• Heritage Center, LLC

• Family Nurse Practitioner in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.