Individual provider Active NPI

Carman Hunter Henderson, FNP-C

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1699184788
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171910 Issued in VA
Practice address
2116 W Laburnum Ave
Richmond, VA 23227-4359
Phone
(804) 254-3500
Fax
(804) 254-1616
NPI assigned
Aug 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171910 VA Primary

Addresses

Primary practice location

2116 W Laburnum Ave
Richmond, VA 23227-4359

Mailing address

PO Box 980663
Department of Internal Medicine - Vcu Health System
Richmond, VA 23298-0663
Phone (804) 828-9690

Other practice location 1

1250 E Marshall St
Department of Internal Medicine - VCU Health System
Richmond, VA 23298-5051
Phone (804) 254-3500

Other names 1

  • Carman Rae Hunter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20190326002487 VA Practitioner - Nurse Practitioner 9739404286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

2116 W Laburnum Ave
Richmond, VA 23227-4359
Phone (804) 254-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Jan 13, 2019 Accepting new patients

Locations

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

2116 W Laburnum Ave
Richmond, VA 23227
Phone (804) 254-3500

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1699184788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980663",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE - VCU HEALTH SYSTEM",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232980663",
            "telephone_number": "804-828-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 W LABURNUM AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274359",
            "telephone_number": "804-254-3500",
            "fax_number": "804-254-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_2": "Department of Internal Medicine - VCU Health System",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-254-3500",
            "fax_number": "804-254-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CARMAN",
        "middle_name": "HUNTER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMAN",
            "last_name": "HUNTER",
            "middle_name": "RAE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.