Individual provider Active NPI

Christina Henry, D.O

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1629412002
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1997 Issued in NV
Practice address
1766 E Charleston Blvd
Las Vegas, NV 89104-1945
Phone
(702) 843-2440
Fax
(833) 749-0349
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X UO3364 FL
Family Medicine Physician 207Q00000X DO1997 NV Primary

Addresses

Primary practice location

1766 E Charleston Blvd
Las Vegas, NV 89104-1945

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (702) 843-2440

Other practice location 1

595 W Lake Mead Pkwy
Henderson, NV 89015-7015
Phone (702) 565-1007

Other identifiers 2

IdentifierTypeStateIssuer
DO1997OtherNVSTATE LICENSE
1629412002MedicaidNV

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address christina.henry.2@29601.direct.athenahealth.com
Direct Messaging Address christina.henry.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817001730 NV Practitioner - Family Practice 3173838323 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care NV P CGroup PAC ID 5092132340, 71 clinicians

Practice addresses (Care Compare)

1766 E Charleston Blvd
Las Vegas, NV 89104-1945
Phone (702) 843-2440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
UO3364FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
Dana Forte D O LTD Family Medicine CurrentSince Nov 4, 2018 Accepting new patients
Centerwell Senior Primary Care (NV) PC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Centerwell Senior Primary Care (NV) PC Family Medicine Past Accepting new patients
Centerwell Senior Primary Care NV P C Family Medicine Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

2875 S Nellis Blvd
Ste 3
Las Vegas, NV 89121
Phone (702) 843-2420

4845 S Rainbow Blvd
Ste 402
Las Vegas, NV 89103
Phone (702) 362-9800

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967

1766 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 843-2440

9010 W Cheyenne Ave
Las Vegas, NV 89129
Phone (702) 240-8646

3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: christina.henry@centerwell.eclinicaldirectplus.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1629412002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "702-843-2440",
            "fax_number": "833-749-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 E CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041945",
            "telephone_number": "702-843-2440",
            "fax_number": "833-749-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 W Lake Mead Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890157015",
            "country_code": "US",
            "telephone_number": "702-565-1007",
            "fax_number": "702-565-0836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "UO3364",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO1997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DO1997",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629412002",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina.henry.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1766 E Charleston Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891041945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina.henry.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1766 E Charleston Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891041945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.