Active NPI
Stacey-Ann Henning, M.A.
- Specialist
- Coram, NY
National Provider Identifier
1649624339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 112713
- Practice address
- 8 Denver CT
Apt. D8
Coram, NY 11727-1504 - Phone
- (516) 456-3388
- NPI assigned
- Apr 19, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 112713 | NY | Primary |
Addresses
Primary practice location
8 Denver CT
Apt. D8
Coram, NY 11727-1504
Mailing address
8 Denver CT
Apt. D8
Coram, NY 11727-1504
Phone (516) 456-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112713 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1649624339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 DENVER CT",
"address_2": "APT. D8",
"city": "CORAM",
"state": "NY",
"postal_code": "117271504",
"telephone_number": "516-456-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 DENVER CT",
"address_2": "APT. D8",
"city": "CORAM",
"state": "NY",
"postal_code": "117271504",
"telephone_number": "516-456-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNING",
"first_name": "STACEY-ANN",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-19",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "112713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coram, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.