Amelia Henderson

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

385000 Issued in WA

Practice address

3944 87TH Ave SE
Olympia, WA 98501-9516

Phone

(360) 413-7602

NPI assigned

Jun 26, 2014

Last updated

Jun 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1699180810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3944 87TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985019516",
            "telephone_number": "360-413-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3944 87TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985019516",
            "telephone_number": "360-413-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "AMELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WA",
            "license": "385000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Helpenstell, M.D.
• Maverick Heminger
• Alisa Faye Hemmersbach, ARNP
• Rochelle Lynn Hemperly
• Unja Hanna Hempowicz, LPTA
• Darien Henderson
• Erin J Henderson, A.R.N.P.
• Jamie R Henderson
• Jessica Elizabeth Henderson, AUD, CCC-A
• Kimberly J Henderson, MA, LMHC

• Assisted Living Facility in Olympia, WA
• Providers in Olympia, WA by specialty
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.