Elizabeth Ann Henry

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

4901809 Issued in OH

Practice address

3495 Payne Thompson Rd
London, OH 43140-9403

Phone

(937) 408-2992

NPI assigned

Jul 28, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Madison County Board of MRDD

  • Developmentally Disabled Services Day Training Agency
  • London, OH
  • NPI 1740301688
  NPD (past)

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1770466674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELM ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409254",
            "telephone_number": "740-852-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 PAYNE THOMPSON RD",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409403",
            "telephone_number": "937-408-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "4901809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandlee Harris
• Tracy Hatfield
• Paula Joann Hayes
• Jennifer M Hazelton, APRN-CNP
• Theresa Hennis
• Andrew A Hitt
• Ashley Hobbs
• Taylor Annmarie Holloway
• Karen Hook
• Jennifer Howard, LPC

• Preferred Provider Organization in London, OH
• Providers in London, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.