Abigail Reiber Henderson, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

101.0136325 Issued in VT

Practice address

331 Upper PLN
Bradford, VT 05033-9207

Phone

(802) 222-4722

NPI assigned

Jun 27, 2023

Last updated

Jun 27, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Rebecca a Foulk MD PC

  dba South Royalton Health Center

  • Pediatrics Physician
  • South Royalton, VT
  • NPI 1003834664
  NPD (past)

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1659057131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 HAWLEY LN",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057018979",
            "telephone_number": "802-236-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 UPPER PLN",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050339207",
            "telephone_number": "802-222-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ABIGAIL",
        "middle_name": "REIBER",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VT",
            "license": "101.0136325",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VT",
            "license": "101.0136325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Grabowski, MA
• Travis Ryan Gross
• Lauren A Harlow, DH
• Mark Steven Harris, MD
• Demetra S Hazatones, LADC, LCMHC
• Taylor Hollis, BA
• Heather Hood, MA
• Jennie Hubbard, LPN
• Amanda Marie Hudak, LADC
• Bonnie W. Irwin, PSYA. D.

• Pediatric Nurse Practitioner in Bradford, VT
• Providers in Bradford, VT by specialty
• Pediatric Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.