Individual provider Active NPI

Michelle Sproat Henderson, FNP, DNP, JD

  • Family Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1720420474
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18375 Issued in SC
Practice address
2 Independence PT Ste 100
Greenville, SC 29615-4558
Phone
(855) 523-9355
NPI assigned
Jul 23, 2013
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20140324000021 SC Practitioner - Nurse Practitioner 0345471066
I20200511001593 VA Practitioner - Nurse Practitioner 0345471066 Reassigns benefits to 1 organization
I20200603002631 TX Practitioner - Nurse Practitioner 0345471066
I20200616002975 WA Practitioner - Nurse Practitioner 0345471066 Reassigns benefits to 1 organization
I20201208001105 AZ Practitioner - Nurse Practitioner 0345471066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61062324WAMDNurse Practitioner
61062324WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Washington PC CurrentSince May 1, 2020 Accepting new patients
New Horizon Family Health Services, Inc. CurrentSince Dec 27, 2013 Accepting new patients
New Horizon Family Health Services, Inc. Current Accepting new patients
New Horizon Family Health Services Inc CurrentSince Dec 27, 2013 Accepting new patients
Dispatchhealth-Texas P a CurrentSince May 15, 2020 Accepting new patients
Dispatchhealth-Arizona CurrentSince Dec 1, 2020 Accepting new patients
Dispatchhealth-Arizona CurrentSince Dec 1, 2020 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients
New Horizon Family Health Services Inc. PastSince Sep 10, 2023 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.

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

Verify at the official NPI Registry.