Active NPI
Michelle Sproat Henderson, FNP, DNP, JD
- Family Nurse Practitioner
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18375
- Practice address
- 2 Independence PT Ste 100
Greenville, SC 29615-4558 - Phone
- (855) 523-9355
- NPI assigned
- Jul 23, 2013
- Last updated
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024178796 | VA | |
| Nurse Practitioner | 363L00000X | C-APN.0001856-C-NP | CO | |
| Nurse Practitioner | 363L00000X | AP146067 | TX | |
| Nurse Practitioner | 363L00000X | 61062324 | WV | |
| Nurse Practitioner | 363L00000X | 827986 | NV | |
| Nurse Practitioner | 363L00000X | 61062324 | WA | |
| Nurse Practitioner | 363L00000X | APRN11008513 | FL | |
| Family Nurse Practitioner | 363LF0000X | 18375 | SC | Primary |
Addresses
Primary practice location
2 Independence PT Ste 100
Greenville, SC 29615-4558
Mailing address
2 Independence PT Ste 100
Greenville, SC 29615-4558
Phone (855) 523-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, VA, TX, WA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61062324 | WA | MD | Nurse Practitioner |
| 61062324 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dispatchhealth Washington PC | Current | Accepting new patients | |
| New Horizon Family Health Services, Inc. | Current | Accepting new patients | |
| New Horizon Family Health Services, Inc. | Current | Accepting new patients | |
| New Horizon Family Health Services Inc | Current | Accepting new patients | |
| Dispatchhealth-Texas P a | Current | Accepting new patients | |
| Dispatchhealth-Arizona | Current | Accepting new patients | |
| Dispatchhealth-Arizona | Current | Accepting new patients | |
| Dispatchhealth-Florida Inc. | Past | Accepting new patients | |
| New Horizon Family Health Services Inc. | Past | Accepting new patients |
Locations
4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444
3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350
3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230
130 Mallard St
Greenville, SC 29601
Phone (864) 233-1534
211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920
2550 Gray Falls Dr
Ste 150
Houston, TX 77077
Phone (713) 422-2920
2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790
7560 Glenview Dr
Ste 100
Richland Hills, TX 76180
Phone (817) 435-1970
4335 W Piedras Dr
Ste 101
San Antonio, TX 78228
Phone (210) 891-5235
1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1013490507
-
dba Dispatch Health
- Emergency Medicine Physician
- Denver, CO
- NPI 1740622133
VA
-
dba New Horizon Family Health Services - Berea
- Federally Qualified Health Center (FQHC)
- Greenville, SC
- NPI 1629872734
-
dba New Horizon Family Health Services - Main Site
- Federally Qualified Health Center (FQHC)
- Greenville, SC
- NPI 1043495526
-
- Federally Qualified Health Center (FQHC)
- Greenville, SC
- NPI 1205949757
-
- Emergency Medicine Physician
- Columbia, MD
- NPI 1811765449
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1649787896
-
dba Care Team Express Mobile Medical Unit 2
- Federally Qualified Health Center (FQHC)
- Greenville, SC
- NPI 1356127021
-
- Emergency Medicine Physician
- Doral, FL
- NPI 1154097491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1720420474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 INDEPENDENCE PT STE 100",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154558",
"telephone_number": "855-523-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 INDEPENDENCE PT STE 100",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154558",
"telephone_number": "855-523-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "MICHELLE",
"middle_name": "SPROAT",
"name_prefix": "Dr.",
"credential": "FNP, DNP, JD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-23",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VA",
"license": "0024178796",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "C-APN.0001856-C-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP146067",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "61062324",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "827986",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "61062324",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11008513",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.