Individual provider Active NPI

Rachel Henshaw, ARNP

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1720544810
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001447 Issued in FL
Practice address
6150 Diamond Centre CT Unit 400
Fort Myers, FL 33912-4367
Phone
(239) 561-9191
Fax
(239) 561-9188
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11001447 FL Primary

Addresses

Primary practice location

6150 Diamond Centre CT Unit 400
Fort Myers, FL 33912-4367

Mailing address

6150 Diamond Centre CT Unit 400
Fort Myers, FL 33912-4367
Phone (239) 561-9191

Other practice location 1

1201 Piper Blvd Ste 21
Naples, FL 34110-1385
Phone (239) 325-2412

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190521002540 FL Practitioner - Nurse Practitioner 8729321435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leavitt Medical Associates of Florida IncGroup PAC ID 4688579311, 199 clinicians

Practice addresses (Care Compare)

7310 College Pkwy
Fort Myers, FL 33907-5503
Phone (239) 768-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11001447FLMDFamily Nurse Practitioner

Practice roles (5 of 7)

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc CurrentSince Apr 1, 2022 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Apr 1, 2022 Accepting new patients
Women'S Contemporary Health Center, PLLC CurrentSince May 1, 2019 Accepting new patients
Lifestyles Chiropractic CurrentSince May 1, 2020 Accepting new patients
Leavitt Medical Associates of Florida Inc Past Accepting new patients

Locations

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

632 Del Prado Blvd N
Ste 201
Cape Coral, FL 33909
Phone (239) 829-7102

6150 Diamond Centre Ct
Unit 400
Fort Myers, FL 33912
Phone (239) 333-3345

11300 Lindbergh Blvd
Ste 110
Fort Myers, FL 33913
Phone (239) 334-9355

6150 Diamond Centre Ct
Bldg 400
Fort Myers, FL 33912
Phone (239) 333-0828

7310 College Pkwy
Fort Myers, FL 33907
Phone (239) 561-3763

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1201 Piper Blvd
Ste 21
Naples, FL 34110
Phone (239) 325-2412

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1720544810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT UNIT 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124367",
            "telephone_number": "239-561-9191",
            "fax_number": "239-561-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT UNIT 400",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124367",
            "telephone_number": "239-561-9191",
            "fax_number": "239-561-9188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Piper Blvd Ste 21",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341101385",
            "country_code": "US",
            "telephone_number": "239-325-2412",
            "fax_number": "239-325-1630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSHAW",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.