Stephanie Henderson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143310 Issued in TX

Practice address

309 N Lee Ave
Odessa, TX 79761-5028

Phone

(432) 335-3817

NPI assigned

Oct 25, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stephaniehenderson@cp.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Pediatrics, PLLC

  • Primary Care Clinic/Center
  • Odessa, TX
  • NPI 1306152103
  NPD (past)

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1699318329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ROLLING WINDS CIR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658912",
            "telephone_number": "432-661-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 N LEE AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615028",
            "telephone_number": "432-335-3817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "STEPHANIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411206201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myron Taras Hawryluk, MD
• Healing Process PLLC
• Health Excel Billing Inc
• Ashley Raven Helmbrecht, APRN-CNP
• Donald Lee Hembree, OD
• Candace Duniven Hennings, LCDC-I
• Belinda Heredia, LPC
• Stephanie R Hermanson
• Evelyn Hernandez Catungal, FNP-C
• Alma Hernandez, FNP-C

• Family Nurse Practitioner in Odessa, TX
• Providers in Odessa, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.