John Henriques, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00011817 Issued in WA

Practice address

515 W Court St
Pasco, WA 99301-3737

Phone

(509) 547-2204

Fax

(509) 545-3960

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Tri Cities Community Health

  • Federally Qualified Health Center (FQHC)
  • Pasco, WA
  • NPI 1659995504
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1659433795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013737",
            "telephone_number": "509-547-2204",
            "fax_number": "509-545-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013737",
            "telephone_number": "509-547-2204",
            "fax_number": "509-545-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUES",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00011817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659433795",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy R Hegarty, R.D., M.P.H.
• Chelsea Heilbrun, OTR/L
• Patti G Helms, RNFA
• Caitlin Hendricks
• Bailey Heninger, FNP-C
• Mayra Alejandra Hermosillo
• Lynnette Marie Hernandez Perez, MEDICAL INTERPRETER
• Juan Carlos Hernandez Umana, M.D.
• Tomas A Hernandez-Mejia, M.D.
• Monica Hernandez

• Pediatrics Physician in Pasco, WA
• Providers in Pasco, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.