Loretta V Henderson, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO1685 Issued in FL

Practice address

1508 Village Oak LN
Kissimmee, FL 34746-6558

Phone

(407) 518-7747

Fax

(407) 518-9009

NPI assigned

May 12, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1720038243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720849",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328720849",
            "telephone_number": "407-518-7747",
            "fax_number": "407-518-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 VILLAGE OAK LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466558",
            "telephone_number": "407-518-7747",
            "fax_number": "407-518-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LORETTA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029627900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87893",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helping Hands Interpreting
• Helping Kids Is Our Happy Place Pediatric Therapy, Inc
• Amanda Henderson, LMHC
• Harold Lenard Henderson, ATC/LAT
• Lisa Reshae Henderson
• Alicia L Heningburg, LMHC
• Harald J Henningsen, MD
• Carla Henriquez Marques, RBT
• Jessica Klein Henriquez
• Richard Henriquez

• Podiatrist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.