Kathryn Henderson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004179 Issued in NC

Practice address

210 E Trade St Ste E186
Minuteclinic Diagnostic of North Carolina
Charlotte, NC 28202-2355

Phone

(866) 389-2727

Fax

(401) 652-9787

NPI assigned

Dec 2, 2008

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1780839985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E TRADE ST",
            "address_2": "SUITE E-186",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022404",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E TRADE ST STE E186",
            "address_2": "MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022355",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KATHRYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Henderson, LPC, NCC
• David Anthony Henderson, MD
• Deana Elizabeth Henderson, FNP
• Geneva Antionette Henderson, LPC
• Jasona Henderson
• Kenya Henderson
• Kimberly Ann Henderson, MA
• Kristen Michelle Henderson
• Laurdes Blanca Henderson, MS, LCMHCA
• Melissa Y Henderson

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.