Sonja Henderson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN085614 Issued in GA

Practice address

304 Everly Cir
Locust Grove, GA 30248-2088

Phone

(478) 365-9062

Fax

(678) 583-4499

NPI assigned

Jun 2, 2020

Last updated

Jun 2, 2020By 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

Other names 1

• Mrs. Sonja Henderson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Baylor Healthcare Services LLC

  • Home Health Agency
  • Locust Grove, GA
  • NPI 1245098854
  NPD Authorized official
• Southern Oaks Healthcare Services, Inc.

  • Home Health Agency
  • Locust Grove, GA
  • NPI 1336765551
  NPD Authorized official
• Baylor Home Healthcare LLC

  • Home Health Agency
  • Orlando, FL
  • NPI 1568246981
  NPD Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1629692066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 EVERLY CIR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482088",
            "telephone_number": "478-365-9062",
            "fax_number": "678-583-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 EVERLY CIR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482088",
            "telephone_number": "478-365-9062",
            "fax_number": "678-583-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SONJA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN085614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONJA",
            "last_name": "HENDERSON",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lemuel Harsh IV
• Cody James Hartley, PT, DPT
• Harton Family Eyecare
• Andre Clifford Harvey, PHARM.D
• Stephanie Jones Headen
• Alicia Nicole Herndon, SURGICAL TECH
• Andrea Denise Higgs-Ellison
• Jimmy L Hightower Jr., PAC
• Casey Marie Holt
• Hope Medical Transport Services

• Registered Nurse in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.