Keisha Marie Henry, WLS, CWC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Practice address

3330 Cumberland Blvd SE Ste 500
Atlanta, GA 30339-5997

Phone

(678) 242-9239

Fax

(770) 933-6223

NPI assigned

Oct 30, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marie Henry Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1699287771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 ADCOX SQ",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300884544",
            "telephone_number": "321-460-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395997",
            "telephone_number": "678-242-9239",
            "fax_number": "770-933-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KEISHA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "WLS, CWC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "HENRY",
            "prefix": "MS.",
            "credential": "WLS, CWC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Janea Capri Henry, PHARMACY TECH
• Jaushai Henry
• Jessica Henry, PHD
• John D Henry Jr., MD
• Katherine Henry, CNS
• Kelsey Violet Henry, MS, ATC, LAT, CES
• Kierra Henry, CAA
• Lydia Althea Henry, CCC-SLP
• Mary Katherine Henry
• Mary Lisa Henry, PH. D., LCSW

• Health Maintenance Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.