Antoinette M Henderson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

532712 Issued in OH

Practice address

6250 W Wyandotte Rd
Maumee, OH 43537-1336

Phone

(567) 277-2156

NPI assigned

Mar 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1659613289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 W WYANDOTTE RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371336",
            "telephone_number": "567-277-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 W WYANDOTTE RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371336",
            "telephone_number": "567-277-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ANTOINETTE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "142981",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "532712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PRACTICAL NURSE",
            "identifier": "142981",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Stephanie Heil, BS ; RBT
• Ashley Heilman, OTR/L
• Suzanne Elaine Heisman
• Sarah Heldmann, COTA/L
• Alissa Henderson, RBT
• Kurt Hennessy, RBT
• Danielle Henninger, PHARMD
• Alexandria Hepburn
• Michael Herbster
• Victoria Hernandez

• Registered Nurse in Maumee, OH
• Providers in Maumee, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.