Individual provider Active NPI

Edward Henson, APRN

  • Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1700330842
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN002229 Issued in NV
Practice address
1876 Doctor Andres Way Ste 83
Delray Beach, FL 33445-4676
Phone
(888) 634-1354
NPI assigned
Aug 5, 2016
Last updated
Aug 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN002229 NV Primary

Addresses

Primary practice location

1876 Doctor Andres Way Ste 83
Delray Beach, FL 33445-4676

Mailing address

304 S Jones Blvd # 7002
Las Vegas, NV 89107-2623
Phone (702) 882-5448

Other practice location 1

13280 Evening Creek Dr S Ste 225
San Diego, CA 92128-4664
Phone (888) 910-0623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, KS, FL, NJ, CO, OH, AZ, WA8 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20160921002415 NV Practitioner - Nurse Practitioner 3577850346 Reassigns benefits to 2 organizations
I20221024000232 KS Practitioner - Nurse Practitioner 3577850346 Reassigns benefits to 1 organization
I20221026001282 FL Practitioner - Nurse Practitioner 3577850346 Reassigns benefits to 1 organization
I20221026002490 NJ Practitioner - Nurse Practitioner 3577850346 Reassigns benefits to 1 organization
I20221027000672 CO Practitioner - Nurse Practitioner 3577850346 Reassigns benefits to 1 organization
I20221101003062 OH Practitioner - Nurse Practitioner 3577850346 Reassigns benefits to 1 organization
I20221102001081 AZ Practitioner - Nurse Practitioner 3577850346 Reassigns benefits to 1 organization
I20221102001255 WA Practitioner - Nurse Practitioner 3577850346 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN002229NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Arizona Urgent Care LLC Current Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jul 22, 2022 Accepting new patients
Central Jersey Urgent Care CurrentSince Jul 22, 2022 Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Jul 22, 2022 Accepting new patients
Central Jersey Urgent Care CurrentSince Jul 22, 2022 Accepting new patients
Carbon Health Medical Group of Kansas PA CurrentSince Jul 22, 2022 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Nov 27, 2017 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jul 22, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Jul 22, 2022 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jul 22, 2019 Accepting new patients
Mdwatch Ca, PC PastSince Aug 1, 2020 Accepting new patients

Locations

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

90 W River Rd
Tucson, AZ 85704
Phone (520) 912-4200

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600

4817 W 119th St
Ste 120
Overland Park, KS 66209
Phone (913) 298-2743

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

2704 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 243-8500

3150 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 220-9865

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

4348 E Craig Rd
Las Vegas, NV 89115

4348 E Craig Rd
Ste 130
Las Vegas, NV 89115
Phone (702) 854-3007

4348 E Craig Rd
Ste 140
Las Vegas, NV 89115
Phone (702) 854-3007

4475 S Eastern Ave
Las Vegas, NV 89119
Phone (702) 669-5811

4173 Worth Ave
#K105
Columbus, OH 43219
Phone (740) 268-2656

11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345

220 6th Ave N
Seattle, WA 98109
Phone (206) 350-7345

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722729600000",
    "number": "1700330842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD # 7002",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-882-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 DOCTOR ANDRES WAY STE 83",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454676",
            "telephone_number": "888-634-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13280 Evening Creek Dr S Ste 225",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921284664",
            "country_code": "US",
            "telephone_number": "888-910-0623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSON",
        "first_name": "EDWARD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2024-08-04",
        "certification_date": "2024-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.