Elizabeth Ann Henry, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-75912-101 Issued in KS

Practice address

3201 Fairfax Trfy
Kansas City, KS 66115-1307

Phone

(913) 573-7053

Fax

(913) 573-7001

NPI assigned

Jun 7, 2011

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: elizabeth.henry.p32@direct.medcor.nextgenshare.com

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1629362645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12103 STATE ROUTE 7",
            "city": "LAKE LOTAWANA",
            "state": "MO",
            "postal_code": "640869165",
            "telephone_number": "816-853-3077",
            "fax_number": "913-573-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 FAIRFAX TRFY",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661151307",
            "telephone_number": "913-573-7053",
            "fax_number": "913-573-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2011017381",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75912-101",
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "KS",
            "license": "53-75912-101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629362645",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200877280C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara J Henkel, APRN
• Katherine Tenney Henn, PHARMD
• Nolan Henning
• Roxane Henrici, CRNA
• Anna Victoria Henry, APRN
• Mariah Henry, TLMSW
• Benjamin Albert Hensley Jr., D.O.
• Matthew Hentges, DO
• Mary V Henton, LMFT
• Stijn Hentzen, MD

• Family Nurse Practitioner in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.