Individual provider Active NPI

Sheila Henry, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1639593361
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9426293 Issued in FL
Practice address
109 W 27TH St RM 5S
New York, NY 10001-6208
Phone
(917) 634-5311
NPI assigned
Feb 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704264493 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 40780901 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9426293 FL Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 0024195381 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 221202304 DC
Primary Care Nurse Practitioner 363LP2300X 4704264493 MI
Primary Care Nurse Practitioner 363LP2300X 9426293 FL

Addresses

Primary practice location

109 W 27TH St RM 5S
New York, NY 10001-6208

Mailing address

1401 Reed Canal Rd
Port Orange, FL 32129-9400
Phone (386) 236-3215

Other practice location 1

1500 K St NW
Washington, DC 20005-1209
Phone (917) 634-5311

Other practice location 2

150 Riverside Pkwy
Fredericksburg, VA 22406-1094
Phone (917) 634-5311

Other identifiers 2

IdentifierTypeStateIssuer
111303700MedicaidFL
121086000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140522002195 MI Practitioner - Nurse Practitioner 7214150069 Reassigns benefits to 3 organizations
I20210420000142 FL Practitioner - Nurse Practitioner 7214150069 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sma Healthcare IncGroup PAC ID 0244226363, 39 clinicians

Practice addresses (Care Compare)

1220 Willis Ave
Daytona Beach, FL 32114-2810
Phone (800) 539-4228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
221202304DCMDPsychiatric/Mental Health Nurse Practitioner
4704264493MIMDPsychiatric/Mental Health Nurse Practitioner
40780901NYMDPsychiatric/Mental Health Nurse Practitioner
0024195381VAMDPsychiatric/Mental Health Nurse Practitioner
9426293FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Matrix Medical Plus Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
MCCD FL Psychiatry Services PA Single Specialty CurrentSince Jan 14, 2026 Accepting new patients
University Physician Group Single Specialty CurrentSince Jun 17, 2019 Accepting new patients
Sma Healthcare Inc Single Specialty CurrentSince Jul 17, 2021 Accepting new patients
Vpa PC Single Specialty CurrentSince Dec 16, 2017 Accepting new patients
Vpa PC Single Specialty CurrentSince Dec 16, 2017 Accepting new patients
Vpa PC Single Specialty Current Accepting new patients
Sma Healthcare, Inc CurrentSince Jul 17, 2021 Accepting new patients
Daniel Kulick DO, P.C. Single Specialty Past Accepting new patients
University Physician Group Single Specialty Past Accepting new patients
Sma Healthcare Inc Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726

1150 Red John Dr
Daytona Beach, FL 32124
Phone (386) 236-3183

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

702 S Ridgewood Ave
Daytona Beach, FL 32114
Phone (386) 254-1211

3875 Tiger Bay Rd
Daytona Beach, FL 32124
Phone (386) 947-1328

356 Englenook Dr
Ste 142
Debary, FL 32713

105 W Calvin St
Deland, FL 32720
Phone (386) 254-1100

1251 N Stone St
Deland, FL 32720
Phone (386) 469-1544

1301 Riverplace Blvd
Jacksonville, FL 32207

330 Kay Larkin Dr
Palatka, FL 32177
Phone (386) 329-3780

1880 San Sebastian Vw
Ste 4201
St Augustine, FL 32084

101 N Monroe St
Ste 800
Tallahassee, FL 32301
Phone (321) 300-2108

2202 N West Shore Blvd
Tampa, FL 33607
Phone (813) 416-4680

2202 N West Shore Blvd
Ste 200
Tampa, FL 33607
Phone (317) 452-4352

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

3901 Chrysler Dr
Ste 3B
Detroit, MI 48201
Phone (313) 577-1396

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 12

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": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1639593361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 REED CANAL RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299400",
            "telephone_number": "386-236-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST RM 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016208",
            "telephone_number": "917-634-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 K St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200051209",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224061094",
            "country_code": "US",
            "telephone_number": "917-634-5311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SHEILA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-17",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704264493",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40780901",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9426293",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024195381",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "221202304",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704264493",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9426293",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111303700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121086000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.