Kyle R Henneke

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

R6812 Issued in KY

Practice address

245 Fountain CT Ste 215
Lexington, KY 40509-2792

Phone

(859) 323-6861

Fax

(859) 323-1194

NPI assigned

Mar 27, 2023

Last updated

Sep 5, 2024By the provider in NPPES

Sex

Male

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1679277552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 FOUNTAIN CT STE 215",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092792",
            "telephone_number": "859-323-6861",
            "fax_number": "859-323-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FOUNTAIN CT STE 215",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092792",
            "telephone_number": "859-323-6861",
            "fax_number": "859-323-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEKE",
        "first_name": "KYLE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "R6812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassaidy Hendrickson, APRN
• Michelle Ladanyi Hendrix, PA
• Regis Henke Scheffel, DDS
• Mary H Henkel, M.D.
• Paul Willard Henley Jr., MD
• Angela N Henning, MSPT
• Tenika Henry-Graves
• Nicholas Allen Henry
• Rhonda Henry, LCSW
• Robert Gerth Henry, DMD

• Psychiatry Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.