Vickie S Henderson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.153805 Issued in IL

Practice address

12218 Scenic RDG
Huntley, IL 60142-7460

Phone

(847) 612-5850

NPI assigned

Oct 28, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1730901034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12218 SCENIC RDG",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427460",
            "telephone_number": "847-612-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12218 SCENIC RDG",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427460",
            "telephone_number": "847-612-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "VICKIE",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041153805",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.153805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Harvey, PSYD
• Afreeda Adnan Hashmi, M.D
• Sara Hausl
• Robin E Hayden, P.T.
• Heidi Naumowicz, LCSW, LLC
• Michael Heuser, MS, ATC
• Amir J. Heydari, M.D.
• Ryan Thomas Hicks, DO
• Hillery Higginbotham, APRN, FNP-BC
• Maria Theresa C Hing, APRN, CNP

• Registered Nurse in Huntley, IL
• Providers in Huntley, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.