Active NPI
Ryan A Henderson, APRN
- Acute Care Nurse Practitioner
- Nashville, TN
National Provider Identifier
1669785960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APN0000014814
- Practice address
- 2400 Patterson St Ste 215
Nashville, TN 37203-6501 - Phone
- (615) 342-7345
- Fax
- (615) 342-7346
- NPI assigned
- Jul 15, 2010
- Last updated
- Jul 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APN0000014814 | TN | Primary |
Addresses
Primary practice location
2400 Patterson St Ste 215
Nashville, TN 37203-6501
Mailing address
2400 Patterson St Ste 215
Nashville, TN 37203-6501
Phone (615) 342-7345
Other practice location 1
200 W Church St
Lexington, TN 38351-2038
Phone (336) 944-6420
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000014814 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecareamerica | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1669785960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 PATTERSON ST STE 215",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372036501",
"telephone_number": "615-342-7345",
"fax_number": "615-342-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 PATTERSON ST STE 215",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372036501",
"telephone_number": "615-342-7345",
"fax_number": "615-342-7346"
}
],
"practiceLocations": [
{
"address_1": "200 W Church St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "TN",
"postal_code": "383512038",
"country_code": "US",
"telephone_number": "336-944-6420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "RYAN",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-15",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TN",
"license": "APN0000014814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.