Active NPI
Jennifer Jean Henry, RDMS
- Sonography Radiologic Technologist
- Topeka, KS
National Provider Identifier
1760197529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 105704
- Practice address
- 2301 NW Furman Rd
Topeka, KS 66618-2845 - Phone
- (785) 224-4775
- Fax
- (800) 859-9507
- NPI assigned
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 105704 | KS | Primary |
Addresses
Primary practice location
2301 NW Furman Rd
Topeka, KS 66618-2845
Mailing address
2301 NW Furman Rd
Topeka, KS 66618-2845
Phone (785) 224-4775
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | henry@lifetchdiagnostics.com | Direct | LifeTech Sciences LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105704 | KS | MD | Sonography Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetech Sciences LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Topeka, KS
- NPI 1497354575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1760197529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 NW FURMAN RD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666182845",
"telephone_number": "785-224-4775",
"fax_number": "800-859-9507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 NW FURMAN RD",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666182845",
"telephone_number": "785-224-4775",
"fax_number": "800-859-9507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "JENNIFER",
"middle_name": "JEAN",
"credential": "RDMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-17",
"last_updated": "2023-01-17",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": "KS",
"license": "105704",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "henry@lifetchdiagnostics.com",
"affiliation": "Y",
"endpointDescription": "Medical Lab",
"affiliationName": "LifeTech Sciences LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "SONOLAB",
"address_1": "2301 NW Furman Rd Ste 100",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666182845",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.