Individual provider Active NPI

Whitney Henderson, FNP-C

  • Family Nurse Practitioner
  • Palm Desert, CA
National Provider Identifier
1679333694
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029352 Issued in CA
Practice address
44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone
(760) 773-6616
Fax
(760) 773-6618
NPI assigned
Mar 19, 2024
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95029352 CA
Family Nurse Practitioner 363LF0000X 95029352 CA Primary

Addresses

Primary practice location

44311 Monterey Ave
Palm Desert, CA 92260-2710

Mailing address

44311 Monterey Ave
Palm Desert, CA 92260-2710
Phone (760) 773-6616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218003634 CA Practitioner - Nurse Practitioner 8729508940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95029352CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Driessen, MD, Inc. CurrentSince Feb 1, 2025 Accepting new patients

Locations

7509 Draper Ave
Ste A
La Jolla, CA 92037
Phone (858) 352-6200

44311 Monterey Ave
Palm Desert, CA 92260
Phone (760) 773-6616

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1679333694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44311 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602710",
            "telephone_number": "760-773-6616",
            "fax_number": "760-773-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44311 MONTEREY AVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602710",
            "telephone_number": "760-773-6616",
            "fax_number": "760-773-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "WHITNEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95029352",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.